双源CT对泌尿系结石成分的定性诊断价值评价..doc

双源CT对泌尿系结石成分的定性诊断价值评价 【摘要】目的：探讨双源CT对泌尿系结石成分定性的诊断价值，旨在提高临床诊断正确率，改善患者临床疗效。方法：选取我院2014年8月-12月所收治因腹痛怀疑泌尿结石收住院患者53例，对53例疑似泌尿结石患者行双源CT扫描，分析结石成分，与术后结石红外光谱分析结果进行比较，以判断其临床价值。结果：双源CT示共42例结石患者，89颗结石，术后红外光谱证实，共有结石患者35例，共有结石66颗。共有结石成分8种，以草酸结石为主,30例患者，59颗（89.4%）结石；其次为尿酸结石3例，4颗（6.2%），其他结石2例，3颗（4.4%）。双源CT示含草酸钙结石76颗，占全部结石的85.4%（76/89）,光谱证实59颗(77.6%)。双能显示含草酸钙的准确性95.2％（59/62）,灵敏度100%，特异度61.0%(36/59)，阴性预测值100%。纯草酸钙准确性38.9％（20/59），灵敏度100%，阴性预测值100%。结论：采用双源CT诊断泌尿系结石，在分析体内结石成分方面准确性好，可较好的区分不同组成成分的结石，做出定性判断，有利于为临床治疗提供依据。本组病例草酸结石高达90%左右，与以往研究不同，分析可能与地域、民族、饮食差异有关，有待进一步研究。 【关键词】:双源CT；泌尿系结石；结石成分；定性诊断 The Valuation of Dual source CT for diagnosis of urinary stone composition [Abstract] Objective: To investigate the diagnostic value of dual source CT on urinary stone constituents qualitative, aims to improve the correct diagnosis rate, improve the clinical curative effect of the patients.Methods:Selection of our hospital in 2014 August-December from suspected urinary calculi hospitalized because of abdominal pain in 53 patients, of 53 patients with suspected urinary calculi treated with dual source CT scan, the analysis of stone composition, compared with stone infrared spectrum analysis results after the operation, to judge the clinical value.Results: Dual source CT showed a total of 42 cases patients with gallstone, 89 stones, postoperative infrared spectroscopy confirmed that a total of 35 cases of gallstone patients, a total of 66 star stone. There are stone of 8 components, mainly oxalic acid calculi, 30 patients, 59 (89.4%) stones; followed by uric acid calculi in 3 cases, 4 (6.2%), 2 cases of other stones, 3 (4.4%). Dual source CT shows containing calcium oxalate stone 76, accounting for all the stones of the 85.4% (76/89), spectrum proved that the 59 stars (77.6%). Dual energy that contain calcium oxalate (59/62) with accuracy of 95.2%, sensitivity 100%, specificity 61% (36/59), and negative predictive value of 100%. Pure calcium oxalate (20/59) with accuracy of 38.9%, sensitivity of 10