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上尿路梗阻影像学诊断的临床价值 被引量:2

Clinical value of imaging diagnosis of upper urinary tract obstruction
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摘要 目的:探讨和评价影像学检查对上尿路梗阻性病变的诊断价值。方法:回顾性分析120例上尿路梗阻病例的临床资料,重点分析比较B超(B-US)、静脉肾盂造影(IVP)、CT和磁共振尿路造影(MRU)对上尿路梗阻的定位、定性诊断中的作用。结果:B-US、IVP、CT和MRU对上尿路梗阻定位正确率分别为65.8%,88.6%,85.7%和92.9%,4项联合检查定位正确率为100%。定性正确率分别为68.3%,71.4%,87.3%和91.1%,4项联合检查定性正确率为100%。结论:影像学检查对上尿路梗阻病变的定位、定性诊断起重要作用,4种检查方法各有优缺点,临床应注意联合检查方法的应用。 Objective: To explore and evaluate the diagnostic value of imaging methods in upper urinary tract obstruction. Methods: The clinical materials of 120 cases diagnosed as upper urinary tract obstruction were analyzed retrospectively. The emphasis was to analyse the application of B-US, IVP, CT and MRU in diagnosing and locating the site of upper urinary tract obstruction and assessing its etiology. Results: The accurate location rate of B-US,IVP,CT and MRU was 65.8%, 88.6%, 85.7% and 92.9% respectively and it was up to 100% using them together. The localizing accurate rate was 68.3%, 71.4%, 87.3% and 91.1% respectively, And it was up to 100% using them together. Conclusion: Imaging examination plays an important role in diagnosing and locating upper urinary tract obstruction. The four methods have advantage and disadvantage respectively, we should pay more attention to the application of combined methods.
作者 何志兵 周州
出处 《中国临床医学影像杂志》 CAS 北大核心 2005年第9期512-514,共3页 Journal of China Clinic Medical Imaging
关键词 尿道梗阻 超声检查 尿路造影术 体层摄影术 X线计算机 磁共振成像 urethral obstruction uhrasonography urography tomography, X-ray computed magnetic resonance imaging
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