多层螺旋CT低剂量扫描在小儿上尿路梗阻性疾病中的应用

目的探讨多层螺旋CT低剂量扫描在小儿上尿路梗阻性疾病中的应用价值。方法2008年1月-2009年6月经临床手术证实尿路梗阻的患儿52例，按梗阻的原因分为结石组13例与非结石组39例。将非结石组患儿，按照年龄分为0～1岁（8例）、1～5岁（16例）和5～10岁（15例）3个组，均采用个性化的低剂量扫描方式。结果结石组与非结石组阳性诊断率均为100％。低剂量扫描患儿所接受的辐射剂量明显降低，CT扫描管电流不变，管电压降低1／3，CT检查的辐射剂量可降低约70％，且均可达到临床诊断要求。结论多层螺旋CT低剂量个性化扫描在小儿上尿路梗阻性疾病中诊断中具有明显优势。

Low-dose Multislice Spiral CT for Upper Urinary Tract Obstruction in Children

Objective To evaluate low-dose multislice spiral CT for upper urinary tract obstruction in children. Methods From January 2008 to June 2009, 52 children with upper urinary tract obstruction were diagnosed via clinical surgeries. The patients were divided into two groups according to whether having renal calculus （13 patients） or not （39 patients）. The patients in non-calculus group were divided into three sub-groups： aged 0-1 （eight patients）, 1-5 （16 patients）, and 5-10 （15 patients）. Low dose multislice spiral CT with different doses was performed. Results The rate of positive predictive diagnosis was 100% in both calculus and non-calculus group. Low dose scan reduced the radiation dose of children. The fixed tube current and the decreased tube voltage （decreased 1/3） led to the decrease of the radiation dose （decreased 70%）, which were feasible for diagnosis. Conclusion Low-dose multislice spiral CT was available for upper urinary tract obstruction in children.