首页|泌尿系梗阻性疾病患者采用64排螺旋CT平扫及三维尿路成像技术的价值

泌尿系梗阻性疾病患者采用64排螺旋CT平扫及三维尿路成像技术的价值

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目的:探索64排螺旋CT平扫及三维尿路成像技术对泌尿系梗阻性疾病诊断优势.方法:以疑似泌尿系梗阻性疾病患者支撑本次研究,开展各项数据分析,截取时间点为2022年1月-2023年6月,筛选70例,以病理检查作为金标准为后续研究提供参考,对患者开展64排螺旋CT平扫及三维尿路成像技术诊断,观察其诊断结果,分析该技术诊断优势与价值.结果:疑似70例泌尿系梗阻性疾病患者病理诊断检出阳性68例,2例阴性,该结果作为金标准,为后续研究提供参考;64排螺旋CT平扫及三维尿路成像技术检出阳性68例,阴性2例,误诊与漏诊情况存在(1例漏诊、1例误诊),计算指标诊断符合、灵敏度、特异度(分别为97.14%、98.53%、50.00%),相比病理诊断指标无对比性(P>0.05).诊断结果中,病理诊断检出肿瘤6例(8.82%)、输尿管畸形15例(22.06%)、泌尿系结石28例(41.18%)、尿路狭窄19例(27.94%),检出率100.00%;64排螺旋CT平扫及三维尿路成像技术诊断检出肿瘤6例(8.82%)、输尿管畸形15例(22.06%)、泌尿系结石28例(41.18%)、尿路狭窄18例(26.47%),检出率98.53%,数值无对比差异(P>0.05).结论:64排螺旋CT平扫及三维尿路成像技术对泌尿系梗阻性疾病具有较高的诊断价值,可以精准地进行病灶观察,减少外界因素对病症产生的影响,提高诊断精准性,有助于患者尽早确诊,对于临床病症诊断具有良好的参考价值.
Value of 64-slice Spiral CT Plain Scan and Three-dimensional Urography in Patients with Urinary Tract Obstructive Diseases
Objective:To explore the advantages of 64-slice spiral CT plain scan and three-dimensional urography in the diagnosis of urinary tract obstructive diseases.Methods:This study was sup-ported by patients with suspected urinary tract obstructive diseases,and data analysis was carried out.The interception time was from January 2022 to June 2023,and 70 cases were screened.Pathological ex-amination was used as the gold standard to provide reference for follow-up research.64-slice spiral CT plain scan and three-dimensional urography were carried out to diagnose patients,and the diagnosis re-sults were observed,and the diagnostic advantages and values of this technology were analyzed.Results:In this study,70 suspected patients with urinary tract obstructive diseases were selected.The pathological diagnosis of patients was positive in 68 cases and negative in 2 cases,which served as the gold standard and provided reference for the follow-up study.The patients were diagnosed positive in 68 cases and negative in 2 cases by 64-slice spiral CT plain scan and three-dimensional urography,and there were cases of misdiagnosis and missed diagnosis(1 case missed diagnosis and 1 case missed diagnosis).The di-agnostic coincidence,sensitivity and specificity were calculated.In the diagnosis results,6 cases of tumor(8.82%),15 cases of ureteral malformation(22.06%),28 cases of urinary calculi(41.18%)and 19 cases of urinary tract stricture(27.94%)were detected by pathological diagnosis,and the detection rate was 100.00%.64-slice spiral CT plain scan and three-dimensional urography were used to diagnose and de-tect 6 cases of tumor(8.82%),15 cases of ureteral malformation(22.06%),28 cases of urinary calculi(41.18%)and 18 cases of urinary tract stricture(26.47%),with a detection rate of 98.53%and there was no difference in numerical values(P>0.05).Conclusion:64-slice spiral CT plain scan and three-dimensional urography have high diagnostic value for urinary tract obstructive diseases,which can accurately observe the focus,reduce the influence of external factors on the disease,improve the diagnostic accuracy,help pa-tients to be diagnosed as early as possible,and have good reference value for clinical disease diagnosis.

64-slice spiral CT plain scanThree-dimensional urographyObstructive diseases of urinary system

沈瑜琳、张辉扬、林水金

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平远县人民医院放射科,广东 514600

64排螺旋CT平扫 三维尿路成像技术 泌尿系梗阻性疾病

2024

影像技术
中国感光学会 全国轻工感光材料信息中心

影像技术

影响因子:0.37
ISSN:1001-0270
年,卷(期):2024.36(2)
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