应用多层螺旋CT尿路造影（CTU）及三维后重建技术诊断输尿管结石的临床应用价值  

Clinical Application Value of Multi-slice Spiral CT Urography (CTU) and 3D Post-reconstruction in Diagnosis of Ureteral Calculi

作　　者：孙存鑫 葛天明[1] 赵强 SUN Cun-xin;GE Tian-ming;ZHAO Qiang(Radiology Department,Jiading District Hospital of traditional Chinese Medicine,Shanghai,201800)

机构地区：[1]上海市嘉定区中医医院放射科

出　　处：《智慧健康》2019年第30期12-13,共2页Smart Healthcare

摘　　要：目的观察对输尿管小结石患者应用多层螺旋CTU还有三维重建技术检查的临床诊断价值。方法将本院近年收治疑似输尿管结石患者为分析对象,纳入患者诊疗时间在2015年2月至2018年11月间,从中随机抽取50例,所有患者均接受多层螺旋CT尿路造影(CTU)扫描,然后将所得原始数据在薄层处理后应用处理工作站做三维重建,对所有患者进行回顾性分析并归纳此种临床诊断方式的价值。结果患者在接受多层螺旋CTU还有三维重建方式检查之后能够将输尿管全部情况清晰的显露出来,并可清晰的将结石体积、数量以及形态方面展现出来,展现发生梗阻以上位置的输尿管扩张程度。结论对输尿管结石患者应用CTU扫描检查后辅以三维重建后期处理,能够帮助医生准确的判断输尿管结石情况,有突出的临床指导价值,治疗方案的制定以及后续预后措施调整均可参考相关数据,值得临床推广。Objective To observe clinical diagnostic value of multi-slice spiral CT U(MSCT U) and threedimensional reconstruction technique in diagnosis of ureteral calculi. Methods Choose 50 cases suspected ureteral calculi patients randomly in our hospital from February 2015 to November 2018 as analysis objects. Treat them with multi-slice spiral CT urography(CTU) scan, reconstruct original data after workstation thin-slice processing. Analyze and review value of the clinical diagnosis method for all patients. Results After multi-slice spiral CT U and threedimensional reconstruction examination, whole ureter situation of patients can be showed clearly, including volume, quantity and shape of stones, and ureteral dilatation degree of obstruction site. Conclusion CTU scanning combined with post-processing of three-dimensional reconstruction can help doctors diagnose condition of ureteral calculi patients accurately, which has prominent clinical guiding value. Formulation of treatment plan and adjustment of follow-up prognostic measures can refer to related data, which is worthy of clinical promotion.

关 键 词：多层螺旋CT尿路造影 三维重建 输尿管结石 

分 类 号：R69[医药卫生—泌尿科学]