克罗恩病合并泌尿系结石的多层螺旋CT检查价值  

The value of multi-detector row CT in detection of the urinary stones in Crohn′s disease

作　　者：赵亚娥 汪登斌[2] 韩本谊 姜婷婷[2] 史曙光[2] 

机构地区：[1]杨浦区市东医院医学影像科,上海200438 [2]上海交通大学医学院附属瑞金医院放射科,上海200025

出　　处：《放射学实践》2011年第6期631-633,共3页Radiologic Practice

摘　　要：目的:比较分析多层螺旋CT对克罗恩病(CD)与非CD病例合并泌尿系结石的检出率及其价值。方法:回顾性分析308例病理证实的CD病例和300例非CD病例的影像学资料,计算多层螺旋CT对CD与非CD病例合并泌尿系结石的检出率,比较两种疾病泌尿系结石发病率的差异。结果:CT对CD与非CD病例的泌尿系结石的检出率分别为13%和1.3%,二者之间差异具有统计学意义(χ2=30.745,P=0.000)。结论:CD病例的泌尿系结石发病率高于一般非CD人群,多层螺旋CT能在显示肠道病变的同时显示泌尿系结石,具有较好的临床价值。Objective：To comparatively analyze the detection rates of the multi-detector row CT（MDCT） for the urinary stones in patients with Crohn＇s disease（CD） and without CD.The value of the imaging modality was assessed.Methods：The MDCT imaging data in 308 cases with pathologically-confirmed CD and 300 cases without CD were analyzed retrospectively.The detection rates of MDCT for urinay stones in the patients with and without CD were calculated and compared for the two groups.Results：The detection rates of MDCT for the urinary stones were 13% and 1.3% for the patients with and without CD,respectively.The difference was statistically significant（χ~2=30.745,P=0.000）.Conclusion：The incidence of the urinary stones in patients with CD is much higher than that in the general population without CD.And the MDCT can not only detect the lesions in the bowel but also detect the superimposed urinary stones in this clinical setting.

关 键 词：肾结石 体层摄影术 X线计算机 诊断 

分 类 号：R816.5[医药卫生—放射医学]