摘要
目的 探讨多层螺旋CT重建技术在急性输尿管小结石中的应用价值,为临床治疗提供依据.方法 回顾50例在我院诊治的急性输尿管小结石患者的临床资料,并加以分析.结果 50例输尿管结石表现为走行与输尿管一致的输尿管内梭形、条形、点状或不规则形高密度影,CT值132～716Hu,结石大小0.5～5mm.结石上端输尿管梗阻积水扩张20例、18例可见输尿管周围脂肪条纹征、14例结石周围软组织边缘征.超声检查检出率仅24.39%、X线腹部平片检查检出率36.00%,而多层螺旋CT重建技术检出率100.00%.结论 多层螺旋CT重建技术可以直观、全面地显示输尿管结石大小、形态、位置及积水情况,为临床治疗提供重要的参考依据.
Objective To discuss the clinic value of multi-slice spiral CT reconstruction technique in the diagnosis of a- cute small ureteral calculus. Methods Retrospective analysis the 50 cases with acute small ureteral calculus in our hospital. Re- suits 50 cases showed high density in ureter, such as spindle, bar, point-like or irregular, which traveled consistent with the u- reter, CT vaule was 132 - 716Hu, stone size was 0. 5 - 5ram. There were 20 cases with upper ureteral obstructive hydronephrosis,18cases with fatty streaks levy around the ureter, 14 cases with the edge of the levy around soft tissue. The detection rate of c ltra- sound only 24. 39%, X-ray 36. 00%, while the detection rate of muhislice spiral CT reconstruction technique was 100. 00%. Conclusions Multi-slice spiral CT reconstruction technique provided an important reference for clinical treatment, for intuitive, comprehensive display of ureteral stone size, shape, location and puddles.
出处
《四川医学》
CAS
2013年第12期1912-1914,共3页
Sichuan Medical Journal
