多层螺旋CT尿路成像对引起血尿的非泌尿系统肿瘤的诊断  

Multi-slice Spiral CT Urography in the Diagnosis of Non-urinary Tumors Induced Haematuria

作　　者：刘竞艳[1,2] 万业达[2] 齐扬[2] 张琳[2] 何岸苇[2] 

机构地区：[1]天津医科大学研究生院,天津300070 [2]天津市天和医院放射科

出　　处：《实用放射学杂志》2011年第6期904-906,911,共4页Journal of Practical Radiology

摘　　要：目的探讨多层螺旋CT尿路成像（multi-slice spiral CT urography，MSCTU）对引起血尿的非泌尿系统肿瘤的诊断价值。方法复习54例经手术病理证实引起血尿的非泌尿系统肿瘤的MSCTU资料，观察病灶部位、起源及与泌尿系统的关系，分析其导致血尿的原因。结果54例非泌尿系统肿瘤中52例发生于盆腔，占96．30％（52／54）。44例依据解剖部位可正确诊断肿瘤起源器官（81．48％，44／54）。非泌尿系统肿瘤产生血尿的原因是输尿管受累28例、膀胱受累20例、输尿管与膀胱同时受累6例。与泌尿系统肿瘤不同，所有非泌尿系统肿瘤的最大径线均位于尿路之外。结论MSCTU检查可帮助鉴别引起血尿的原因，对临床诊断和治疗具有重要指导意义。Objective To study multi-slice spiral CT urography（MSCTU） in the diagnosis of non-urinary tumors induced haematuria. Methods Imaging（MSCTU） data of 54 cases with non-urinary tumors induced haematuria confirmed by surgery were reviewed. The location and origin of the tumors,the relation between tumor and urinary system and the causes of haematuria were analysed. Results The tumors in 52 patients located in the pelvic cavity （96.30%,52/54）. The origin organs of tumors in 44 cases could be evaluated according to their anatomic site（81.48 %,44/54）. The causes of non-urinary tumors induced haematuria included involving the ureter（28 cases） ,bladder（20 cases） or both of them（6 cases）. The maximum diameter of the non-urinary tumors all Iocated out of urinary tract,that was different with urinary tumors. Conclusion MSCTU can identify the causes of haematuria,that has important guiding significance to clinical diagnosis and treatment.

关 键 词：体层摄影术 X线计算机 尿路成像 血尿 肿瘤 

分 类 号：R814.42[医药卫生—影像医学与核医学] R691.9[医药卫生—放射医学]