摘要
目的分析慢性肾盂肾炎的多层螺旋CT（MDCT）表现，探讨其在慢性肾盂肾炎中的诊断价值。方法对30例诊断为慢性肾盂肾炎的患者分别进行MDCT增强扫描、静脉肾盂造影（IVP）以及双肾彩超检查，并选取同时期内25例健康体检者作为对照。由两位不同年资的影像学医生进行分别评价。结果两位医师对病例的诊断一致性高（K=0．81，P〈0，05）。另外，MDCT增强扫描较IVP、彩超在肾实质凹陷征，肾盂壁增厚、强化及肾盏轻度变形等方面的诊断率明显较高（均P〈0．05）。结论MDCT能够清晰观察到慢性肾盂肾炎患者肾脏形态的改变，诊断率较高，值得临床推广。
bjective To analyze the characteristics of multilayer spiral CT （MSCT） in chronic pyelone- phritis,and to explore its clinical value in the diagnosis of chronic pyelonephritis. Methods 30 patients with chronic pyelonephritis were examined by MSCT enhancement scan, intravenous pyelogram （IVP） and double kidney color dopplar ultrasound. 25 healthy people were selected as the control group. Two different seniority doctors evaluated the results separately. Results The diagnosis of two physicians had high consistency（ K = 0.81 ,P 〈 0.05）. In addition, compared with IVP and color dopplar ultrasound, the diagnostic rate of MSCT enhancement scanning in the renal pa- renchyma sag sign, renal pelvis wall thickening, strengthen and calyces mild deformation were significantly higher （P 〈 0.05）. Conclusion MSCT can clearly observe kidney form change in patients with chronic pyelonephritis, di- agnostic rate is higher, it is worth clinical promotion.
出处
《中国基层医药》
CAS
2013年第14期2129-2131,共3页
Chinese Journal of Primary Medicine and Pharmacy
