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多层螺旋CT尿路造影对输尿管梗阻性疾病的诊断价值
引用本文:陈瑛,郭剑明,刘敏,李慧峰. 多层螺旋CT尿路造影对输尿管梗阻性疾病的诊断价值[J]. 中国临床医学, 2010, 17(2): 231-232
作者姓名:陈瑛  郭剑明  刘敏  李慧峰
作者单位:1. 复旦大学附属中山医院青浦分院泌尿外科,上海,201700
2. 复旦大学附属中山医院泌尿外科,上海,200032
基金项目:上海市青浦区科技发展基金项目(编号:2007-53)
摘    要:目的:探讨多层螺旋CT尿路成像(MSCTU)对输尿管梗阻性疾病的诊断价值。方法:回顾分析47例输尿管梗阻性疾病患者的MSCTU检查结果,并与B超、静脉肾盂造影(IVU)、逆行尿路造影(RGP)及手术病理结果进行对照。47例中,输尿管结石24例,肾盂输尿管连接部狭窄4例,膀胱癌累及输尿管开口4例,输尿管肿瘤4例,输尿管炎性狭窄3例,腹腔内病变累及输尿管3例,重复肾盂输尿管畸形2例,肾输尿管结核2例,前列腺癌1例。结果:MSCTU对于输尿管梗阻的诊断准确率达到100.0%,B超的诊断准确率为78.7%,IVU诊断准确率为75%,RGP诊断准确率为66.7%。MSCTU诊断准确率明显高于其他诊断方法。结论:MSCTU可以多角度三维重建尿路,对输尿管梗阻性疾病的诊治提供重要帮助。

关 键 词:多层螺旋CT尿路成像  输尿管梗阻  诊断

The Diagnosis of Ureteric Obstruction with Multislice Computer Tomography Urography
CHEN Ying GUO Jianmin LIU Min LI Huifeng. The Diagnosis of Ureteric Obstruction with Multislice Computer Tomography Urography[J]. Chinese Journal Of Clinical Medicine, 2010, 17(2): 231-232
Authors:CHEN Ying GUO Jianmin LIU Min LI Huifeng
Affiliation:CHEN Ying1 GUO Jianmin2 LIU Min1 LI Huifeng1 1. Department of Urologic Surgery,Qingpu Branch of Zhongshan Hospital,Fudan University,Shanghai 201700,China,2. Department of Urologic Surgery,Zhongshan Hospital,Shanghai 200032
Abstract:Objective:The purpose of this study was to evaluate multislice computed tomography urography (MSCTU) in the diagnosis of ureteric obstruction.Methods:The clinical data of 47 patients with ureteric obstruction (29 males and 18 females) underwent MSCTU were analyzed in this study. There were 24 cases of ureterolith,4 cases of ureteropelvic junction obstruction(UPJO),4 cases of bladder cancer,4 cases of ureteric cancer,3 cases of stenosis of ureter,and 3 cases of stenosis of ureter result from other disease. D...
Keywords:Multislice computed tomography urography  Intravenous urography  Diagnosis  
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