64排螺旋CT在梗阻性急性肾功能衰竭诊断中的价值  

The Value Of Unenhanced 64-Slice Spiral Computerized Tomography in Acute Obstructive Renal Failure

作　　者：代海涛[1,2] 郑江[1,2] 刘昌茂[1,2] 夏安[1,2] 黄慧[1,2] 王竞[1,2] 

机构地区：[1]长江大学临床医学院 [2]荆州市第一人民医院泌尿外科,湖北荆州434000

出　　处：《长江大学学报（自科版）（下旬）》2012年第9期17-18,5,共2页Journal of Yangtze University

摘　　要：目的:评价64排螺旋CT在急性梗阻性肾功能衰竭诊断中的应用价值。方法:38例梗阻性急性肾功能衰竭患者先行KUB及泌尿系超声检查,后行泌尿系CT平扫和三维重建。结果:KUB及超声怀疑输尿管结石患者经CT平扫加三维重建后确诊为输尿管结石28例;KUB无异常而超声发现输尿管扩张患者经CT平扫加三维重建后诊断为泌尿系肿瘤压迫7例和输尿管结石12例。结论:64排螺旋CT在急性梗阻性肾功能衰竭的病因诊断中具有快速、准确的实用价值。Objective:To evaluate the role of 64-slice spiral computerized tomography in patients with acute obstructive renal failure.Methods;38 patients with acute obstructive renal failure were examined with both US,X-ray,KUB and CT with 3D reconstruction.Results:CT with 3D reconstruction identified ureteric stones suspected on US and X-ray KUB in 19 patients.KUB and ultrasound found no abnormalitities in 7 patients with uretral expansion by adding three-dimensionnal reconstruction of CT scan after the diagnosis of tumor suppression,and 12 patients with uretral stones. Conclusion;64-slice spiral computerized tomography plays a critical role in the diagnosis of acute obstructive renal failure.

关 键 词：螺旋CT 急性肾功能衰竭 输尿管结石 

分 类 号：R692.5[医药卫生—泌尿科学] R445.3[医药卫生—外科学]