摘要
目的:探讨螺旋CT对输尿管远段可疑结石病例的诊断价值。方法:临床通过X平片,静脉尿路造影(IVP)及B超检查高度怀疑输尿管远段结石60例病例,对照手术病理结果及临床排石证实结果,并结合CT检查资料进行分析。结果:60例病例中有51例CT诊断输尿管远段结石,阳性率为85%。其中2例为血管壁钙化,6例盆腔静脉石,1例为邻近髂骨骨岛。结论:螺旋CT对输尿管远段结石的诊断价值很高,通过平扫及多平面图像重建技术(MPVR)能较容易与相邻结构区分并进行鉴别诊断,特别是对临床症状相符,又通过X线平片,静脉尿路造影及B超检查高度怀疑结石的病例进行CT检查,具有很高的准确性。
Objective： To study the evaluation of the spiral CT diagnosing on suspected ureteral calculus at the distal end of ureters. Methods： 60 cases that were suspected ureteral calculus at the distal end of ureters by X - ray, IVP（ intravenous pyelography ）, USG （ ultra- sonography）were examined by spiral CT scanning.All cases were proved by clinical therapeutic results or pathological examining：Results： In the 60 cases,51 cases were found ureteral calculus at the distal end of ureters,vasal wall calcification in2 cases,pelvic cavity veinal stone in 6 cases,ilium bone island in 1 case.The detection rate by CT was 85%. Conclusions： Spiral CT is very important in the diagnosis of ureteral calculus at the distal end of ureters with non-contrast CT and MPVR（multi-planar volume reconstruction）,specially to the cases that were suspected by X- ray, IVP and USG.It is easily to identify with the configuration close to ureters.Spiral CT has high accuracy for the diagnosis of this disease.
出处
《航空航天医药》
2009年第1期1-2,共2页
Aerospace Medicine
