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目的研究分析64排螺旋CT在尿路梗阻诊断中的应用价值,为提高尿路梗阻诊断有效性提供宝贵的借鉴依据。方法随机选自2015年6月-2016年9月本院收治的尿路梗阻患者,共计45例,在基于B超检查、IVU检查结果对病因未直接进行获取和确诊后,应用64排螺旋CT对所有研究对象进行MSCTU检查,获得并分析泌尿系立体图像。结果35例泌尿系结石,5例输卵管炎性或者粘连性狭窄,2例输尿管畸形,2例腺性膀胱炎导致的输尿管狭窄,1例肾囊肿,诊断结果和术后诊断的符合率达到100%。结论在尿路梗阻诊断中应用64排螺旋CT进行多层面螺旋CT尿路造影,可提高诊断准确率,具有在尿路梗阻诊断中进一步推广应用的可行性。
Objective To study the value of 64-slice spiral CT in the diagnosis of urinary tract obstruction and provide a valuable reference for improving the diagnosis of urinary tract obstruction. Methods A total of 45 patients with urinary tract obstruction who were admitted to our hospital from June 2015 to September 2016 were enrolled in the study. According to the result of ultrasonography and IVU, the etiological factor was not directly obtained and confirmed. All subjects underwent MSCTU examinations to obtain and analyze urologic stereoscopic images. Results 35 cases of urinary calculi, 5 cases of tubal inflammation or adhesive stenosis, 2 cases of ureteral malformations, 2 cases of ureteral stricture caused by cystitis glandularis, 1 case of renal cysts, the diagnostic and postoperative diagnosis of 100% . Conclusion The diagnosis of urinary tract obstruction using 64-slice spiral CT multi-slice spiral CT urography can improve the diagnostic accuracy, with the feasibility of further application in the diagnosis of urinary tract obstruction.