多层螺旋CT泌尿系造影在上尿路梗阻性疾病诊断中对诊断准确率的影响  

Influence of multi-slice spiral CT urography on diagnostic accuracy of upper urinary tract obstructive diseases

作　　者：曾茗 白峥嵘 Zeng Ming;Bai Zhengrong(Department of Imaging,Yan′an Traditional Chinese Medicine Hospital,Yan′an 716000,China;Department of CT Diagnosis,Yan′an People′s Hospital,Yan′an 716000,China)

机构地区：[1]延安市中医医院影像科,延安716000 [2]延安市人民医院CT诊断科,延安716000

出　　处：《国际泌尿系统杂志》2024年第6期1079-1082,共4页International Journal of Urology and Nephrology

基　　金：延安市科技计划项目(2021YF-08)。

摘　　要：目的分析上尿路梗阻性疾病诊断中多层螺旋CT泌尿系造影的诊断准确率。方法回顾性分析2020年2月至2023年2月本院收治的130例上尿路梗阻性疾病患者的临床资料,比较分析多层螺旋CT泌尿系造影和静脉尿路造影对上尿路梗阻性疾病的病因检出情况,并分析二者的诊断效能,以手术病理检查为金标准。结果多层螺旋CT泌尿系造影对上尿路梗阻性疾病的病因检出率高于静脉尿路造影[71.54%(93/130)vs.56.15%(73/130),P<0.05]。多层螺旋CT泌尿系造影对上尿路梗阻性疾病的诊断效能高于静脉尿路造影(P<0.05)。结论上尿路梗阻性疾病诊断中多层螺旋CT泌尿系造影的诊断准确率较静脉尿路造影高,值得临床推广。ObjectiveTo analyze the diagnostic accuracy of multi-slice spiral CT urography in the diagnosis of upper urinary tract obstructive diseases.MethodsFrom February 2020 to February 2023,the clinical data of 130 patients with upper urinary tract obstructive diseases in our hospital were retrospectively analyzed.The etiology of upper urinary tract obstructive diseases detected by multi-slice spiral CT urography and intravenous urography was statistically analyzed,and the diagnostic efficacy of the two was statistically analyzed,with surgical pathological examination as the gold standard.ResultsThe detection rate of etiology for upper urinary tract obstructive diseases by multi-slice spiral CT urography was higher than that by intravenous urography[71.54%(93/130)vs.56.15%(73/130),P<0.05].The diagnostic efficacy of multi-slice spiral CT urography for upper urinary tract obstructive diseases was higher than that of intravenous urography(P<0.05).ConclusionsThe diagnostic accuracy of multi-slice spiral CT urography in the diagnosis of upper urinary tract obstructive diseases is higher than that of intravenous urography,and it is worthy of clinical promotion.

关 键 词：尿路造影术 体层摄影术 螺旋计算机 上尿路梗阻性疾病 

分 类 号：R691[医药卫生—泌尿科学] R816.7[医药卫生—外科学]