| 多层螺旋CT尿路造影对无痛性血尿的上尿路肿瘤的诊断价值 |
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| 引用本文： | 杭永贵,孙晓文,夏术阶,朱轶勇,鲁军,凡杰,施云峰,夏圻儿. 多层螺旋CT尿路造影对无痛性血尿的上尿路肿瘤的诊断价值[J]. 现代泌尿外科杂志, 2009, 14(2): 100-102 |
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| 作者姓名： | 杭永贵 孙晓文 夏术阶 朱轶勇 鲁军 凡杰 施云峰 夏圻儿 |
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| 作者单位： | 上海交通大学附属第一人民医院泌尿外科,上海,200080 |
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| 摘 要： | 目的探讨多层螺旋CT尿路造影（MSCTU）在无痛性血尿的上尿路肿瘤患者中的诊断价值。方法采用前瞻性研究方法，收集本院2005年1月～2008年6月无痛性血尿患者，共512例，既往无尿路肿瘤病史，所有患者均行MSCTU、尿液及泌尿系统B超检查；用Logistic回归分析评价各变量在预测上尿路肿瘤的价值，各变量分别为MSCTU、泌尿系B超、血尿、年龄和性别。结果512例患者中，23例为上尿路肿瘤，MSCTU检出上尿路肿瘤患者19例，其敏感性、特异性、阳性预测率和阴性预测率分别为82．61％、98．77％、75．95％和99．18％。有6例假阳性和4例假阴性。Logistic回归分析显示：异常MSCTU（发现上尿路新生物）对探测上尿路肿瘤具有显著统计学意义（P〈0．0001）。结论MSCTU在无痛性血尿患者中诊断上尿路肿瘤敏感，且具有高度特异性，可作为无痛性血尿患者首选影像学检查。
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| 关 键 词： | 上尿路 肿瘤 血尿 多层螺旋CT尿路造影 |
Clinical evaluation of multislice computerized tomography urography in the diagnosis of upper urinary tract neoplasms |
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| HANG Yong-gui,SUN Xiao-wen,XIA Shu-jie,ZHU Yi-yong,LU Jun,Fan Jie,SHI Yun-feng,XIA Qi-er. Clinical evaluation of multislice computerized tomography urography in the diagnosis of upper urinary tract neoplasms[J]. Journal of MOdern Urology, 2009, 14(2): 100-102 |
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| Authors: | HANG Yong-gui SUN Xiao-wen XIA Shu-jie ZHU Yi-yong LU Jun Fan Jie SHI Yun-feng XIA Qi-er |
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| Affiliation: | Department of Urology;the First Affiliated People's Hospital of Shanghai Jiaotong University;Shanghai 200080;China |
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| Abstract: | Objective To explore whether multislice computerized tomography urography(MSCTU)is sensitive and specific for detecting upper urinary tract neoplasms in patients with painless hematuria.Methods A prospective study was performed on the radiological,urological and pathological records of 512 patients without history of urinary neoplasms who were admitted to our hospital during January 2005 to June 2008.All patients underwent MSCTU,laboratory urinalysis and ultrasonography of urinary system.Logistic regression... |
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| Keywords: | upper urinary tract neoplasms hematuria MSCTU |
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