CT检测对结石梗阻性肾盂积脓术前的诊断价值  

The value of CT in the preoperative diagnosis of obstructive calculous pyelonephritis

作　　者：周宇林 王娟婷[2] 郑秋平 万颂 华伟[1] 习明[1] ZHOU Yu-lin;WANG Juan-ting;ZHENG Qiu-ping(Department of Urology,Huadu District People's Hospital,Guangzhou 510810,China;不详)

机构地区：[1]广州市花都区人民医院泌尿外科,510810 [2]广州市花都区人民医院影像科,510810

出　　处：《中国实用医药》2023年第3期81-83,共3页China Practical Medicine

基　　金：广州市花都区科技计划项目(项目编号:20-HDWS-028)。

摘　　要：目的研究CT检测对结石梗阻性肾盂积脓术前的诊断价值,为CT在本病的临床应用提供参考,提高医护人员对本病的认识。方法70例因结石梗阻所诱发的化脓性肾盂炎患者,其中肾积脓患者作为肾积脓组(27例),肾积水患者作为肾积水组(43例)。所有患者在造瘘前均进行CT检测,比较两组患者肾积水程度、最大截面肾积液面积以及CT值。结果肾积脓组CT检测肾积水程度Ⅰ级占比14.8%、Ⅱ级占比48.1%、Ⅲ级占比37.0%;肾积水组患者CT检测肾积水程度I级占比14.0%、Ⅱ级占比51.2%、Ⅲ级占比34.9%,两组肾积水程度比较差异无统计学意义(P>0.05)。肾积脓组CT检测最大截面肾积液面积(1358.56±1427.65)mm^(2)、CT值(9.4±6.6)HU与肾积水组的(1468.72±1514.36)mm^(2)、(8.8±3.3)HU比较,差异无统计学意义(P>0.05)。结论CT检测并不能够很好的判断结石梗阻性肾积脓患者的肾内感染状态,但本次收集数据量较少,精准判断仍需要后续进一步研究。Objective To study the value of CT in the preoperative diagnosis of obstructive calculous pyelonephritis,so as to provide reference for the clinical application of CT in this disease and improve the understanding of this disease by medical staff.Methods There were 70 patients with purulent pyelonephritis induced by stone obstruction,of which pyonephrosis patients were selected as pyonephrosis group(27 cases)and hydronephrosis patients as hydronephrosis group(43 cases).All patients were examined by CT before fistulation,and the degree of hydronephrosis,the maximum cross-sectional area of renal effusion and the CT value were compared between the two groups.Results In pyonephrosis group,the degree of hydronephrosis detected by CT was 14.8%in gradeⅠ,48.1%in gradeⅡ,and 37.0%in gradeⅢ;in hydronephrosis group,the degree of hydronephrosis detected by CT was 14.0%in grade I,51.2%in gradeⅡ,and 34.9%in gradeⅢ;there was no statistically significant difference in the degree of hydronephrosis between the two groups(P>0.05).In the pyonephrosis group,the maximum cross-sectional area of renal effusion detected by CT was(1358.56±1427.65)mm^(2),and the CT value was(9.4±6.6)HU,which were not statistically significant from(1468.72±1514.36)mm^(2)and(8.8±3.3)HU in hydronephrosis group(P>0.05).Conclusion CT test can not judge the status of intrarenal infection in patients with obstructive calculous pyelonephritis,however the amount of data collected this time is small,and whether it can be accurately judged still needs further research in the future.

关 键 词：CT 结石梗阻性肾盂积脓 术前 诊断价值 

分 类 号：R699.2[医药卫生—泌尿科学]