多层螺旋CT在泌尿系先天性畸形病变中的应用

Application of multi-slice spiral CT in congenital malformation of urinary system

目的探讨多层螺旋CT(MSCTU)用于泌尿系先天性畸形病变的临床价值。方法收集南方医科大学顺德医院附属杏坛医院2012年6月-2018年2月具有完整资料的36例泌尿系先天性畸形病变患者,行MSCTU容积扫描并常规做多平面重组成像、曲面重建、最大密度投影法及容积显示图像。将检查结果与手术、结合临床病史及其他辅助检查对照分析。结果本组患者19例经手术证实,另17例经结合临床病史及其他辅助检查证实。多囊肾6例,马蹄肾6例,孤立肾6例,肾旋转不良5例,肾发育不全6例,肾发育不良4例,肾盂输尿管重复畸形3例。结论 MSCTU检查能对泌尿系先天性畸形病变的性质及位置作出准确的判断。

Objective To investigate the clinical value of multi-slice spiral CT(MSCTU)in congenital malformation of urinary system.Methods 36 patients with congenital malformation of urinary system from June 2012 to February 2018 in Xingtan Hospital Affiliated of Southern Medical University Shunde Hospital were collected and underwent MSCTU volume scanning and routine multi-plane reconstruction imaging(MPR),surface reconstruction(CPR),maximum density projection(MIP)and volume display images(VR).The results of examination were compared with those of operation,clinical history and other auxiliary examinations.Results 19 cases patients in this group were confirmed by surgery,and the other 17 cases patients were confirmed by clinical history and other auxiliary examinations.There were 6 cases of polycystic kidney,6 cases of horseshoe kidney,6 cases of solitary kidney,5 cases of renal malrotation,6 cases of renal dysplasia,4 cases of renal dysplasia and 3 cases of ureteropelvic ureteral malformation.Conclusion MSCTU can accurately diagnose the nature and location of the congenital malformations of urinary system.