摘要
目的:探索64排螺旋CT平扫及三维尿路成像技术对泌尿系梗阻性疾病诊断优势。方法:以疑似泌尿系梗阻性疾病患者支撑本次研究,开展各项数据分析,截取时间点为2022年1月-2023年6月,筛选70例,以病理检查作为金标准为后续研究提供参考,对患者开展64排螺旋CT平扫及三维尿路成像技术诊断,观察其诊断结果,分析该技术诊断优势与价值。结果:疑似70例泌尿系梗阻性疾病患者病理诊断检出阳性68例,2例阴性,该结果作为金标准,为后续研究提供参考;64排螺旋CT平扫及三维尿路成像技术检出阳性68例,阴性2例,误诊与漏诊情况存在(1例漏诊、1例误诊),计算指标诊断符合、灵敏度、特异度(分别为97.14%、98.53%、50.00%),相比病理诊断指标无对比性(P>0.05)。诊断结果中,病理诊断检出肿瘤6例(8.82%)、输尿管畸形15例(22.06%)、泌尿系结石28例(41.18%)、尿路狭窄19例(27.94%),检出率100.00%;64排螺旋CT平扫及三维尿路成像技术诊断检出肿瘤6例(8.82%)、输尿管畸形15例(22.06%)、泌尿系结石28例(41.18%)、尿路狭窄18例(26.47%),检出率98.53%,数值无对比差异(P>0.05)。结论:64排螺旋CT平扫及三维尿路成像技术对泌尿系梗阻性疾病具有较高的诊断价值,可以精准地进行病灶观察,减少外界因素对病症产生的影响,提高诊断精准性,有助于患者尽早确诊,对于临床病症诊断具有良好的参考价值。
Objective:To explore the advantages of 64-slice spiral CT plain scan and threedimensional urography in the diagnosis of urinary tract obstructive diseases.Methods:This study was sup⁃ported by patients with suspected urinary tract obstructive diseases,and data analysis was carried out.The interception time was from January 2022 to June 2023,and 70 cases were screened.Pathological ex⁃amination was used as the gold standard to provide reference for follow-up research.64-slice spiral CT plain scan and three-dimensional urography were carried out to diagnose patients,and the diagnosis re⁃sults were observed,and the diagnostic advantages and values of this technology were analyzed.Results:In this study,70 suspected patients with urinary tract obstructive diseases were selected.The pathological diagnosis of patients was positive in 68 cases and negative in 2 cases,which served as the gold standard and provided reference for the follow-up study.The patients were diagnosed positive in 68 cases and negative in 2 cases by 64-slice spiral CT plain scan and three-dimensional urography,and there were cases of misdiagnosis and missed diagnosis(1 case missed diagnosis and 1 case missed diagnosis).The di⁃agnostic coincidence,sensitivity and specificity were calculated.In the diagnosis results,6 cases of tumor(8.82%),15 cases of ureteral malformation(22.06%),28 cases of urinary calculi(41.18%)and 19 cases of urinary tract stricture(27.94%)were detected by pathological diagnosis,and the detection rate was 100.00%.64-slice spiral CT plain scan and three-dimensional urography were used to diagnose and de⁃tect 6 cases of tumor(8.82%),15 cases of ureteral malformation(22.06%),28 cases of urinary calculi(41.18%)and 18 cases of urinary tract stricture(26.47%),with a detection rate of 98.53%and there was no difference in numerical values(P>0.05).Conclusion:64-slice spiral CT plain scan and three-dimensional urography have high diagnostic value for urinary tract obstructive diseases,which can accurately observe the focus,reduce t
作者
沈瑜琳
张辉扬
林水金
SHEN Yu-lin;ZHANG Hui-yang;LIN Shui-jin(Department of Radiology,Pingyuan People's Hospital,Guangdong 514600,China)
出处
《影像技术》
CAS
2024年第2期25-29,共5页
Image Technology
关键词
64排螺旋CT平扫
三维尿路成像技术
泌尿系梗阻性疾病
64-slice spiral CT plain scan
Three-dimensional urography
Obstructive diseases of urinary system
