比较MSCTU与IVP诊断泌尿系疾病中的价值  

Comparison of diagnostic values between MSCTU and IVP in urinary system diseases

作　　者：段淑英[1] 刘长春[1] 李忠国[1] 梁俊福[1] 孙延春[1] 

机构地区：[1]北京市怀柔区第一医院影像科,北京101400

出　　处：《现代医药卫生》2011年第5期662-664,共3页Journal of Modern Medicine & Health

摘　　要：目的：探讨多层螺旋CT（MSCTU）技术对泌尿系统疾病的临床诊断价值。方法：回顾分析具有完整临床资料的泌尿系患者40例,行IVP检查后3~7日内再行MSCTU检查,利用多平面重组（MPR）、曲面重组（CPR）、容积再现（VR）和最大密度投影（MIP）等多种方法观察疾病,并与IVP结果比较。结果：40例患者,其中泌尿系结石27例,泌尿系结核3例,肾透明细胞癌4例,肾盂内凝血块1例,膀胱移行癌5例,IVP检出阳性结石20/27,对于泌尿系结核、肾癌等疾病患侧不显影或显影不良,MSCTU可清晰显示病变部位、大小、形态、与周围组织的解剖关系等,病变检出率高于IVP。结论：MSCTU检查方法优点多,提高了病变显示率和定性诊断率。Objective：To assess the clinical value of multi-slice spiral CT urography（MSCTU） in the diagnosis of urinary system diseases.Methods：40 patients with complete clinical data of urinary system diseases underwent intravenous pyelography（IVP） first,and then underwent MSCTU on 3-7 d.After that,the diseases were observed with multiplanar reformation（MPR）,curved planar reformation（CPR）,volume rendering（VR） and maximum intensity projection（MIP）,etc.The results were compared with those by IVP.Results：Among 40 cases,there are 27 cases of urinary stones,3 cases of urinary tuberculosis,4 cases of renal clear cell carcinoma,1 case of blood clot within the renal pelvis,5 cases os bladder transitional cell carcinoma.20 of 27 cases of urinary stones were detected using IVP,while it made little sense to the urinary tract tuberculosis,renal cancer and other diseases,MSCTU could clearly demonstrate the location,size and form of the lesion,and the space relationship with adjacent structure,which was obvious better than IVP.Conclusion：MSCTU have many advantages,which can improve the display rate and qualitative diagnosis of the lesion.

关 键 词：多层螺旋CT 经静脉尿路造影术 泌尿系疾病 

分 类 号：R81[医药卫生—放射医学]