摘要
目的探讨多层螺旋CT平扫联合尿路重建在急性肾绞痛诊断中的的临床应用价值。方法将126例急诊肾绞痛患者随机分两组:CT组(67例)和静脉尿路造影(IVU)组(59例),CT组行多层(16层或64层)螺旋CT平扫联合尿路重建,IVU组行相关准备后行腹部X线平片(KUB)联合IVU检查。在明确诊断为输尿管梗阻或输尿管结石后,急诊行输尿管镜碎石术或置管治疗,比较两组患者的术前结石确诊率、肾绞痛缓解时间、住院时间及住院总费用等。结果所有患者术后肾绞痛均缓解,CT组术前结石确诊率明显高于IVU组(P<0.05),CT组肾绞痛缓解时间和住院时间短于IVU组(P<0.05),CT组住院总费与IVU组比较差异无统计学意义(P>0.05)。结论多层螺旋CT平扫联合尿路重建对于急诊肾绞痛患者的诊治是高效和相对经济的。
Objective To investigate ciinical application of multi-slice helical CT plain scan combined with urinary reconstruction in diagnosis of acute renal colic. Methods 126 patients with acute renal colic were randomized divided into two groups. 67 cases were diagnosed by multi-slice helical CT combined with urinary reconstruction and 59 cases were diagnosed by abdominal plain film radiography combined with IVU. All patients were treated by ureteroscope lithotripsy. The stone diagnosis rate was compared as well as the renal colic time,the hospitalization time and the hospitalization cost. Results The stone diagnosis rate in CT group was more than that in IVU group（P〈0.05）. However,the renal colic time hospitalization time in CT group was less than that in IVU group as well as hospitalization time（P〈 0.05）. There was no significantly difference on the hospitalization cost between two groups（P^0.05）. Conclusion Multi-slice helical CT plain scan combined with urinary reconstruction is efficient and economic in diagnosis of acute renal colic.
出处
《重庆医学》
CAS
CSCD
北大核心
2011年第33期3357-3358,共2页
Chongqing medicine
关键词
体层摄影术
螺旋计算机
肾绞痛
尿路重建
tomography, spiral computed i renal colic
urinary tract reformation
