文档介绍:64层螺旋CT尿路造影对泌尿系统疾病的诊断价值
【关键词】泌尿系疾病;体层摄影术,X线计算机;尿路造影术;诊断
[摘要]目的探讨64层螺旋CT尿路造影(CTU)对泌尿系疾病的临床诊断价值。方法对46例泌尿系统病变病人行CT平扫和肾实质期及排泌期扫描,将原始资料传送至工作站进行图像后处理,获得MPR、MIP、CPR和VR图像。结果 46例中,诊断为肾盂输尿管癌10例,膀胱癌2例,重复肾盂输尿管畸形6例,输尿管良性狭窄20例,肾盂输尿管结石8例。35例经手术病理证实,11例经临床证实。结论 CTU具有扫描速度快,覆盖范围广,图像清晰,多角度三维显示等特点,对泌尿系疾病的诊断具有重要价值。
[关键词] 泌尿系疾病;体层摄影术,X线计算机;尿路造影术;诊断
[ABSTRACT]ObjectiveTo assess the 64-slice CT urography (CTU) in the diagnosis of urologic disease. MethodsFor-ty-six patients with different urologic diseases underwent both CT plain scanning and kidney parenchymal phase enhanced scanning. The primitive data obtained were transferred to the workstation to get the MPR, MIP, CPR and VR images. ResultsTen pa-tients were diagnosed as having pyeloureteral ca
rcinoma, two bladder carcinoma, six pyeloureteral duplication deformity, 20 ureter-al stricture, and eight pyeloureteral stone. Of the 46 cases, 35 were confirmed by operation, and 11 were by the clinical manifesta-tions. ConclusionMulti-slice spiral CTU is very important in the diagnosis of urologic diseases with its advantages of fast scan-ning speed, broad covering, clear picture, and three-dimensional display.
[KEY WORDS]urologic disease; tomography, X-puted; urography; diagnosis
近年来随着螺旋CT技术的成熟和三维重建功能软件的逐步完善,CT尿路造影(CTU)已被应用于泌尿系疾病的检查和诊断;特别是64层螺旋CT的出现,以其超快速容积扫描的特点使螺旋CT泌尿系重建技术可同时显示肾实质、肾集合系统、输尿管及膀胱的立体图像,已成为一种新的非侵入性检查方法。本研究旨在探讨CTU在泌尿系疾病中的诊断