摘要
目的探讨静脉尿路造影(IVU)、CT尿路造影(CTU)与磁共振尿路造影(MRU)对肾盂输尿管交界处梗阻(UPJO)的诊断价值。方法对我院2008年1月~2011年1月间收治的112例术前行不同影像学检查的UPJO患者的临床资料进行回顾性分析。其中IVU组28例,CTU组29例,MRU组31例,普通CT组24例,比较各诊断方法对UPJO诊断的符合率。结果所有患者均行手术治疗,以术中所见和病理结果作为依据,判断术前影像检查的准确率。IVU组定位诊断准确率82.1%(23/28),CTU组准确率86.2%(25/29),MRU组的准确率为90.3%(28/31),普通CT组的准确率54.2%(13/24)。IVU组、CTU组与MRU组间比较,差异无统计学意义(P>0.05),普通CT组与其余三组间比较差异均有统计学意义(P<0.05)。结论 IVU、CTU与MRU对UPJO诊断的准确率显著高于普通CT诊断,可作为UPJO诊疗中的重要辅助手段。
Objective To investigate the clinical application value of IVU, CTU and MRU on the diagnosis of UPJO. Methods The clinical data of 112 patients with UPJO in our hospital from Jan. 2008 to Jan. 2011 were selected and analyzed retrospectively. 28 cases were in JVU group, 29 cases were in CTU group, 31 cases were in MRU group and 24 cases were in CT group. The rates of coincidence of diagnosis were compared. Results All patients were performed under operation. The rates of coincidence of the four grofaps were 82.1 %, 86.2%, 90.3% and 54.2% respectively. The differences between CT group and IVU, CTU and MRU group were significant (_P〈 0.05). Conclusions The rates of diagnostic coincidence in IVU group, CTU group and MRU group are higher than CT group. It can be the means to make a definite diagnosis for UPJO.
出处
《齐齐哈尔医学院学报》
2012年第2期149-150,共2页
Journal of Qiqihar Medical University