资源描述：
《ivp后ct检查在肾和输尿管病变中的诊断价值》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。
1、IVP后CT检查在肾和输尿管病变中的诊断价值［摘耍］冃的:探讨静脉肾盂造彫(IVP)后CT检查对肾和输尿管病变的诊断价值。方法:对43例IVP检杳示显影不满意的患者60min后行CT扫描检杳，扫描结束示在工作站上采用］11
2、面重建(CPR)、多平面容积重建(MPVR)、最大密度投影(MIP)等方法重建成CT丿亲路造影(CTU)。结合手术病理结果和临床诊治结果分别判定其对病变的检出率、准确率及临床应用价值。结果:本组研究中43例TVP显影不满意的肾和输尿管病变的患者,CT加CTU対病变的检出率为100%。其中，肾和输尿管结石28例(6
3、5.1%),肾及输尿管结核4例(9.2%),输尿管肿瘤3例(7.0%)，慢性炎症2例(4.6%),输尿管破裂1例(2.3%),重复肾盂输尿管畸形2例(4.6%),先天性巨输尿管1例(2.3%),先天性输尿管狭窄1例(2.3%),腹膜后纤维化1例(2.3%)oCT加CTU的整体诊断匸确率为93%(40/43)。结论：IVP后CT检查对IVP显影不佳的肾及输尿管疾病有很高的检出率和诊断正确率，有较高的临床使用价值。［关键词］静脉肾盂造影；计算机体层摄影;肾及输尿管疾病［中图分类号］R691［文献标识码］A［文章编号J1673-7210(
4、2009)08(b)-015-03DiagnosticvalueofCTfollowingTVPinrenalandureteraldiseaseDUXiuming,ZHANGLei(CTRoom,thePeople"sHospitalofGuangshanCounty,He'nanProvince,Guangshan465450,China)［Abstract］Objective:ToinvestigatethevalueofCTafterintravenouspyelography(TVP)inthediagnosisofren
5、alandureteraldiseases.Methods:43patientsshowedunsatisfactoryresultsafterIVPunderwentCTexaminations.CTUreconstructionmethodsweremadewithCPR,MPVRandMIP・Thenanalyzedtherenalandureteralperformances,evaluatedthedetectionrate,accuracyrateandclinicalapplicationvalueofCTandCTU
6、indiagnosingrenalandureteraldiseases.Results:Al1the43caseswerepatientswithrenalandureteraldiseasesandshowedunsatisfactoryresultsafterIVP,thedetectionrateofCTandCTUwas100%.Amongthem,28cases(65.1%)wererenaluterteralurolithiasis,4cases(9.2%)wererenalandureteraltuberculosi
7、s,3cases(7.0%)wererenalandureteralneoplasm,2cases(4.6%)werechronicinflammatorydiseases,1case(2.3%)wasruptureoftheureter,2cases(4.6%)wereduplicationdeformity,1case(2.3%)wascongenitalmegaureter,1case(2.3%)wascongenitalureterostenosis,1case(2.3%)wasretroperitonealfibrosis
8、.ThetotalaccuracyrateofCTandCTUwas93%(40/43).Conclusion:CTexaminationafterIVPshowshighdetectionrateandaccuracyrateindiagnosingrenaIandureteraldiseaseswhichcannotperforminTVP,andithasahighclinicalapplicationvalue.［Keywords］Intravenouspyelography;X-raycomputedtomography;
9、Renalandureteraldiseases肾和输尿管的常见病变为结石,其次是肿瘤、结核及炎症，肾和输尿管先天性畸形和其他疾病相对少见，这些疾病均易引起输尿管梗阻。过去常采川腹部X线平片(KUB)、静脉肾盂造影(IVP)、B超等检
