计算机图形成像技术在肾结石术后并发症诊断中的应用  

The application value of computer graphics imaging technology in diagnosis of postoperative complications of kidney stones

作　　者：吴爱宁[1] 王珊珊 

机构地区：[1] 中国人民解放军第 1 55 中心医院泌尿外科,河南 开封,475003 [2] 河南应用技术职业学院

出　　处：《实用放射学杂志》2016年第8期1282-1284,共3页Journal of Practical Radiology

摘　　要：目的：探讨计算机图形成像技术结合 CT 尿路造影（CTU）在诊断肾结石术后并发症的临床应用。方法回顾分析17例肾结石术后并发症患者的临床资料，均行64排螺旋 CTU 检查，对获取的扫描薄层图像再行容积再现（VR）、最大密度投影（MIP）、多平面重组（MPR）、曲面重组（CPR）图像处理。结果17例患者并发症：残石13例，重度肾积水伴输尿管扭曲1例，重复肾残石1例，肾实质破裂1例，输尿管上段破裂1例，腔静脉后输尿管伴漏尿1例，肾出血1例，胸腔积液1例，多发肾脓肿伴残石1例。结论图形成像技术结合 CTU 检查可以清楚显示并发症的发生情况，为临床提供详尽的影像信息。Objective To evaluate the clinical application value of computer graphics imaging technology in combination with CT urography in the diagnosis of postoperative complications of kidney stone.Methods 1 7 patients with postoperative complications of kidney stones underwent 64-detector CT urography examination.The images were transferred by network to a separate workstation to perform volume rendering （VR）,maximum intensity projection （MIP）,multiplanar reconstruction （MPR）and curved planar re-construction （CPR）.All the postprocessing images were retrospectively analyzed.Results Postoperative complications were found in 1 7 patients including 13 with urinary residual stones,1 with severe hydronephrosis and twisted ureter,1 with residual stone in du-plex kidneys,1 with renal parenchyma rupture,1 with ureter rupture,1 with urine leakage of postcaval ureter,1 with renal hemor-rhage,1 with pleural effusion,and 1 with residual stone of multiple renal cysts.Conclusion Postoperative complications of kidney stones can be clearly demonstrated by computer graphics imaging technology in combination with CT urography,which may provide more information for treatment.

关 键 词：图形成像技术 计算机体层成像 尿路造影术 肾结石 并发症 

分 类 号：R692.4[医药卫生—泌尿科学] R814.43[医药卫生—外科学]