螺旋CT诊断泌尿外科疾病的价值

Diagnostic value of spiral CT in diseases of urological system

目的:探讨螺旋CT技术诊断泌尿外科疾病的应用价值。方法:选择各种典型患者19例,其中输尿管上端狭窄4例,输尿管下端狭窄3例,输尿管畸形3例,输尿管肿瘤2例,肾结核3例,膀胱肿瘤2例,肾癌2例,比较螺旋CT与静脉肾盂造影(IVU)、B超等诊断技术诊断各种泌尿系疾病的优缺点。结果:螺旋CT可获得不同层面、不同角度的三维或二维图像,能提供更为直观全面的影像资料,明确病变的大小、部位及其与周围组织的关系。结论:螺旋CT扫描时间短,图像质量好,与IVU、B超相比对泌尿系疾病诊断和治疗方案的设计更具有指导价值。

Objective: To investigate the value of spiral CT in the diagnosis of urological diseases. Methods: Nineteen typical patients suffering from urological diseases, including 4 with ureter upper section stricture, 3 with ureter lower section stricture, 3 with dupplication of ureter and pelvis, 2 with ureter tumor, 3 kidney tuberculosis, 2 with bladder cancer,and 2 with kidney tumor,were studied. Intravenous urograph (IVU), B-model ulbrasound scanning (B-us) and spiral CT were applied in the diagnosis process of all patients. Results: Spiral CT got 2- or 3-dimensional pictures of diseases, showed more direct and complete screenage data, and offered information of the size and locus of the lesion as well as its relation with surrounding tissues. Conclusion: Spiral CT can conveniently show pictures of urological diseases with high quality. Compared with IVU and B-us, it has more value in the diagnosis and clinical treatment of urological diseases.