摘要
目的:探讨多层螺旋CT在上尿路梗阻性疾病诊断中的应用价值。方法:对72例上尿路梗阻性疾病的患者行多层螺旋CT平扫加增强检查,超声检查和静脉尿路影(IVU)检查。结果:72例中诊断为结石性上尿路梗阻14例,非结石性上尿路梗阻58例。72例中有67例得到手术病理证实。多层螺旋CT诊断结石性上尿路梗阻的敏感性和特异性均为100%,优于超声和IVU检查(P<0.01);诊断非结石性上尿路梗阻的敏感性和特异性分别为91.4%和100%,亦优于超声和IVU检查(P<0.01)。结论:对上尿路梗阻患者行多层螺旋CT平扫加增强的检查以判断梗阻原因,临床效果满意。
Objective：To explore the value of multi-slice spiral CT in the diagnosis of upper urinary tract obstruction. Methods：Contrast-enhanced spiral CT was performed in 72 patients with upper urinary tract obstruction. Results：Among these 72 patients,14 had calculous obstruction and 58 had noncalculous obstruction. The diagnosis was also confirmed by surgical pathology in 67 patients. The sensitivity and specificity of multi-slice spiral CT were 100% and 100% in patients with calculous obstruction and 91.4% and 100% in those with noncalculous obstruction. Both the sensitivity and specificity of multi-slice spiral CT were higher than those of ultrasonography and intravenous urography （P 〈 0.01）. Conclusion：Contrast enhanced spiral CT is effective in the diagnosis of upper urinary tract obstruction.
出处
《中国医科大学学报》
CAS
CSCD
北大核心
2007年第4期458-459,462,共3页
Journal of China Medical University
