摘要
目的:探讨泌尿系结石致重度肾积水静脉肾盂造影肾不显影后补充检查CT+3D成像的应用价值。方法:回顾性分析60例重度肾积水静脉肾盂造影肾不显影后经螺旋CT联合三维成像技术诊断的患者的影像学资料。结果:60例患者中,经手术证实肾结石17例,输尿管上段结石31例,中下段结石10例,膀胱结石1例,尿道结石1例;与经静脉肾盂造影后螺旋CT联合三维成像技术的诊断结果一致,两组诊断符合率差异有统计学意义(P<0.05)。结论:泌尿系结石并重度肾积水病例经静脉肾盂造影不显影或显影淡,结石部位、大小、数目均无法确定,且阴性结石无法显示;造影后加做螺旋CT联合三维成像技术可以明确有无结石,明确结石部位、数目及梗阻部位,为临床医生的治疗提供有利参考,值得临床广泛推广和应用。
Objective To explore the application value of severe renal supplementary inspection of CT＋3D imaging hydronephrosis intravenous pyelography kidney is not after developing urinary calculi caused by.Methods A retrospective analysis of 60 cases with severe hydronephrosis intravenous pyelography kidney is not developed with spiral CT combined with 3D imaging techniques in the diagnosis of imaging data.Results Among the 60 patients,confirmed by operation,17 cases of kidney stones,ureteral stones in 31 cases,10 cases of lower ureteral stone,1 cases of bladder calculi,1 cases of urethra stones;results are consistent with the diagnosis of intravenous pyelography with spiral CT and 3D imaging technology,two sets of diagnostic accordance rate difference has statistics significance（P〈0.05）.Conclusion Urinary calculi and severe hydronephrosis cases diagnosed by intravenous pyelography not developed or developing light,stone location,size,number can not be determined,and negative stone cannot display;radiography and spiral CT combined with 3D imaging can clearly has no stone,stone,clear part number and site of obstruction,provide favorable the reference for clinicians,is worthy of extensive promotion and application.
出处
《吉林医学》
CAS
2013年第9期1605-1606,共2页
Jilin Medical Journal
