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64层螺旋计算机断层扫描尿路排泄期成像对尿路梗阻的诊断价值

Diagnostic value of 64-slice spiral computed tomography imaging of the urinary tract during the excretory phase for urinary tract obstruction.

作者信息

Zhao De-Li, Jia Guang-Sheng, Chen Peng, Liu Xin-Ding, Shu Sheng-Jie, Ling Zai-Sheng, Fan Ting-Ting, Shen Xiu-Fen, Zhang Jin-Ling

机构信息

Department of Computed Tomography, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150086, P.R. China.

Radiology Department, The Fourth Hospital of Harbin, Harbin, Heilongjiang 150026, P.R. China.

出版信息

Exp Ther Med. 2017 Nov;14(5):4761-4766. doi: 10.3892/etm.2017.5176. Epub 2017 Sep 21.

DOI:10.3892/etm.2017.5176
PMID:29201177
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5704313/
Abstract

The present study aimed to assess the diagnostic value of 64-slice spiral computed tomography (CT) imaging of the urinary tract during the excretory phase for urinary tract obstruction. CT imaging of the urinary tract during the excretory phase was performed in 46 patients that had been diagnosed with urinary tract obstruction by B-mode ultrasound imaging or clinical manifestations. It was demonstrated that out of the 46 patients, 18 had pelvic and ureteral calculi, 12 cases had congenital malformations, 3 had ureteral stricture caused by urinary tract infection and 13 cases had malignant tumors of the urinary tract. The average X-ray dose planned for the standard CT scan of the urinary tract group 1 was 14.11±5.45 mSv, while the actual X-ray dose administered for the CT scan during the excretory phase group 2 was 9.01±4.56 mSv. The difference between the two groups was statistically significant (t=15.36; P<0.01). The results of the present study indicate that CT scanning of the urinary tract during the excretory phase has a high diagnostic value for urinary tract obstruction.

摘要

本研究旨在评估排泄期64层螺旋计算机断层扫描（CT）尿路成像对尿路梗阻的诊断价值。对46例经B型超声成像或临床表现诊断为尿路梗阻的患者进行了排泄期尿路CT成像检查。结果显示，46例患者中，18例有盆腔和输尿管结石，12例有先天性畸形，3例因尿路感染导致输尿管狭窄，13例有尿路恶性肿瘤。尿路组1标准CT扫描计划的平均X线剂量为14.11±5.45 mSv，而排泄期组2 CT扫描实际给予的X线剂量为9.01±4.56 mSv。两组间差异有统计学意义（t=15.36；P<0.01）。本研究结果表明，排泄期尿路CT扫描对尿路梗阻具有较高的诊断价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/098d/5704313/78e34777217e/etm-14-05-4761-g07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/098d/5704313/9185c8529d97/etm-14-05-4761-g00.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/098d/5704313/c82873581556/etm-14-05-4761-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/098d/5704313/11705cf8c15f/etm-14-05-4761-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/098d/5704313/3ef173b45679/etm-14-05-4761-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/098d/5704313/72f2fe0ec610/etm-14-05-4761-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/098d/5704313/63768e5c89ef/etm-14-05-4761-g06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/098d/5704313/78e34777217e/etm-14-05-4761-g07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/098d/5704313/9185c8529d97/etm-14-05-4761-g00.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/098d/5704313/9b5c9838a565/etm-14-05-4761-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/098d/5704313/c82873581556/etm-14-05-4761-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/098d/5704313/11705cf8c15f/etm-14-05-4761-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/098d/5704313/3ef173b45679/etm-14-05-4761-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/098d/5704313/72f2fe0ec610/etm-14-05-4761-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/098d/5704313/63768e5c89ef/etm-14-05-4761-g06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/098d/5704313/78e34777217e/etm-14-05-4761-g07.jpg

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本文引用的文献

1
CT urography: the end of IVU?CT尿路造影：静脉肾盂造影的终结？
Radiol Med. 2008 Aug;113(5):658-69. doi: 10.1007/s11547-008-0281-6. Epub 2008 Jun 6.
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多排螺旋CT尿路造影（MDCTU）中尿路可视化的改善：使用呋塞米和低剂量测试图像分析个体采集延迟和造影剂充盈情况。
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Multidetector CT urography with abdominal compression and three-dimensional reconstruction.采用腹部压迫和三维重建的多排螺旋CT尿路造影
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