摘要
目的:探究多层螺旋CT泌尿系造影检查(Multi-slice spiral CT urography,MSCTU)在输尿管结石中的临床应用价值。方法:选取2020年3月至2022年9月本院收治的61例输尿管结石患者作为研究对象,所有患者均进行静脉尿路造影(Intravenous Pyelogram,IVP)及MSCTU检查。记录并对比两种检查结石数量、大小、肾积水诊断准确率、结石位置诊断准确率和两种检查诊断价值。结果:MSCTU在结石数量、大小及肾积水诊断准确率均明显高于IVP(P<0.05)。MSCTU位置诊断总准确率明显高于IVP诊断总准确率(P<0.05)。MSCTU诊断输尿管结石的灵敏度和特异度均明显高于IVP检查(P<0.05)。结论:MSCTU在对结石数量、大小、位置以及肾积水的诊断准确率均高于IVP,可为临床提高更全面的影像学信息。
Objective:To explore the clinical application value of multi-slice spiral CT urography(MSCTU)in ureteral calculi.Methods:Selecting 61 patients with ureteral stones as the study subjects admitted to our hospital from March 2020 to September 2022,all of whom were diagnosed with ureteral calculi by surgical pathology examination.All 61 patients underwent intravenous pyelogram(IVP)and MSCTU examination.The number of calculi,size,accuracy of diagnosis of hydronephrosis,accuracy of diagnosis of calculi location and diagnostic value of the two examinations were recorded and compared.Results:The number of calculi,size and accuracy of diagnosis of hydronephrosis of MSCTU were significantly higher than those of IVP,with statistically significant differences(P<0.05).The total accuracy of diagnosis of stone location of MSCTU(93.44%)was significantly higher than that of IVP(80.32%),with statistically significant differences(P<0.05).The sensitivity and specificity of IVP in the diagnosis of ureteral calculi were 80.43% and 80.00%,respectively.The sensitivity and specificity of MSCTU in the diagnosis of ureteral calculi were 93.47% and 86.66%,respectively,significantly higher than those of IVP(P<0.05).Conclusion:The accuracy of MSCTU in the diagnosis of calculi,size,location and hydronephrosis is higher than that of IVP,which can improve more comprehensive imaging information for clinical practice.
作者
杨志炯
Yang Zhi-jiong(Department of Urology,Nanchang People's Hospital,The Third Hospital of Nanchang,Nanchang 330009,China)
出处
《四川生理科学杂志》
2024年第1期226-228,共3页
Sichuan Journal of Physiological Sciences
