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