摘要
目的:探讨经直肠超声(transrectal ultrasonography,TRUS)及CT对输尿管下段病变的诊断价值。方法:分析83例经手术和病理证实的输尿管下段病变患者病例资料,所有患者均行TRUS检查,68例患者接受CT检查。结果:输尿管结石34例,TRUS、CT的结石检出率分别为97.06%(33/34)、95.83%(23/24);输尿管良性狭窄10例,TRUS及CT的诊断符合率分别为80.00%(8/10)及66.67%(4/6);输尿管癌25例,TRUS及CT的诊断符合率分别为92.00%(23/25)及79.17%(19/24);输尿管周围病变致输尿管狭窄或侵犯14例,TRUS及CT的定位诊断符合率分别为92.86%(13/14)及64.29%(9/14),P=0.065;TRUS及CT定性诊断符合率分别为85.71%(12/14)及71.43%(10/14)。3例患者TRUS诊断不正确,但CT诊断正确;10例患者CT诊断不正确,但TRUS诊断正确。结论:TRUS及CT对输尿管下段病变均有较高的诊断价值,诊断效果相当,二者各有优势,可相互补充。
Objective:To investigate the value of transrectal ultrasonography (TRUS)and CT in the diagnosis of distal ureteral diseases.Methods:The data of 83 cases of distal ureteral diseases proved by pathology or surgery were analyzed.All patients were examined by TRUS and 68 by CT.Results:For distal ureteral calculi (34 cases),the detection rates by TRUS and CT were 97.06% (33/34)and 95.83% (23/24)respectively (P= 0.801).For benign distal ureteral stricture (n= 10),the diagnostic accuracy rates of TRUS and CT were 80.00%(8/10)and 66.67%(4/6),respectively.For ureteral cancer (25 cases),the diagnostic accuracy rates of TRUS and CT were 92.00% (23/25)and 79.17% (19/24), respectively (P= 0.255).For ureteral stricture or infiltration caused by periureteral lesions (14 cases),the localization diagnostic accuracy rates of TRUS and CT were 92.86% (13/14)and 64.29% (9/14),respectively (P= 0.065),and the qualitative diagnostic accuracy rates of TRUS and CT were 85.71%(12/14)and 71.43%(10/14),respectively (P= 0.357). In 3 cases,the diagnosis of TRUS was inaccurate but that of CT was accurate.In 10 cases,the diagnosis of CT was inaccurate but that of TRUS was accurate.Conclusions:TRUS and CT show similar high value in the diagnosis of distal ureteral diseases.Both have their own advantages and can complement each other.
出处
《中国临床医学》
2017年第1期119-122,共4页
Chinese Journal of Clinical Medicine
关键词
输尿管
经直肠超声
CT
ureter
transrectal ultrasonography
CT