螺旋CT尿路造影和静脉尿路造影诊断泌尿系梗阻性的临床分析

发布时间：2018-01-13 23:00

本文关键词：螺旋CT尿路造影和静脉尿路造影诊断泌尿系梗阻性的临床分析　出处：《医学影像学杂志》2016年12期 　论文类型：期刊论文

【摘要】：目的探讨螺旋CT尿路造影(MSCTU)和静脉尿路造影(IVP)技术在泌尿系梗阻性疾病诊断中的效果。方法对40例泌尿系梗阻性疾病患者,均接受螺旋CT尿路造影和静脉尿路造影技术检查。结果 40例患者顺利完成检查,与病理结果比较,螺旋CT尿路造影检出25例泌尿系结石、5例肿瘤、6例尿路狭窄、4例输尿管畸形,诊断符合率为100.00%,静脉尿路造影检出19例泌尿系结石,1例肿瘤,1例尿路狭窄,4例输尿管畸形,诊断符合率为62.50%;螺旋CT尿路造影对梗阻性积水显示准确率100.00%,较对照组的80.00%显著提高,差异存在统计学意义(P0.05)。结论螺旋CT尿路造影诊断效果优于静脉尿路造影技术,从定位、定性不同角度观察病变部位及周边情况。
[Abstract]:Objective to investigate the effect of spiral CT urography (MSCTU) and intravenous urography (IVP) in the diagnosis of urinary tract obstructive diseases. All patients were examined by spiral CT urography and intravenous urography. Results 40 patients completed the examination successfully. Compared with pathological results, 25 cases of urolithiasis were detected by spiral CT urography in 5 cases. Six cases of ureteral stricture and 4 cases of ureteral malformation, the diagnostic coincidence rate was 100.00.The intravenous urography detected 19 cases of urolithiasis and 1 case of tumor, 1 case of ureteral stricture and 4 cases of ureteral malformation. The diagnostic coincidence rate was 62.50; The accuracy of helical CT urography in the diagnosis of obstructive hydronephrosis was significantly higher than that in the control group (80.00%%). Conclusion the diagnostic effect of spiral CT urography is better than that of intravenous urography.
【作者单位】：湖北医药学院附属襄阳第一人民医院CT室;
【分类号】：R691.2;R816.7
【正文快照】： 泌尿系梗阻指肾盂至尿道外口存在各种梗阻性病变,引起的肾脏功能、结构损害,可涉及到多种泌尿系疾病,其发生于前列腺肥大、结石、肿瘤等因素有关[1-3]。泌尿系梗阻性疾病发病率相对较高,疾病发作时,临床症状缺乏典型性,加上病因叙述不清,可能出现误诊和漏诊,影响治疗效果和预

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