冷刀与钬激光治疗尿道狭窄临床效果的比较.docVIP

通讯作者：曾炳恬。E-mail：bingtianz@163.com MSCT增强扫描对钝性肾损伤诊断和分级的应用价值 曾炳恬，梁荣真，周绮华 （广州市番禺区石碁人民医院放射科，广东 广州 511450） 【摘要】目的 探讨多层螺旋CT增强扫描对钝性肾损伤（BRI）诊断和分级的应用价值。方法 选取笔者所在医院2012年7月~2015年7月期间收治的经临床证实为BRI患者237例，其中交通事故伤92例，高空坠落伤57例，钝击致伤57例，挤压致伤31例。所有患者均接受MSCT扫描，并以CT平扫检查结果作对照，比较两种诊断方法对钝性肾损伤临床分级诊断的符合率。结果 MSCT扫描诊断出BRI患者共213例，其中46例患者还行排泄期扫描。其中BRI I级75例，II 级43例，Ⅲ级44例，Ⅳ级共27例，Ⅴ级24例，MSCT增强扫描对BRI I级 、Ⅱ级 、Ⅲ级 、Ⅳ级和V级的符合率分别为 89.28%、 86.00%、 88.00%、 93.10%和100.00%；CT平扫检查诊断出BRI患者共185例，其中BRII级65例，II 级38例，Ⅲ级37例，Ⅳ级共24例，Ⅴ级21例，符合率分别为77.38%、76.00%、74.00%、82.76%、87.50%。MSCT增强扫描符合率均明显高于CT平扫检查，两种诊断方法结果比较差异均有统计学意义（P0.05）。结论 MSCT增强扫描是临床鉴别BRI的主要手段之一，是肾脏损伤术前分级的理想诊断措施，对钝性肾损伤的定性诊断和分类准确率相对较高，对临床诊断及治疗方案的选择提供了明确的方向。 【关键词】多层螺旋CT；钝性；钝性肾损伤；诊断；分级；应用价值 Application value of MSCT enhanced scanning diagnosis and grading of blunt renal injury. ZENG Bing-tian, LIANG Rong-zhen, ZHOU Qi-hua. Department of Radiology, Shiqi peoples Hospital of Panyu District, Guangzhou, Guangzhou 511450, Guangdong, CHINA 【Abstracts】ObjectiveTo discuss application value of multi-slice spiral CT (MSCT) on the diagnosis and grading of blunt renal injury (BRI). Methods A total of 214 patients with BRI in authors hospital were selected from July 2012 to July 2015, including 92 cases in traffic accident injury, 57 cases in falling injury, 57 cases in blunt injury, and 31 cases in crush injury. All patients were given MSCT scan, and the results were compared with CT plain scan. The coincidence rate of the results of the two diagnostic methods for the diagnosis of renal injury was compared. Results There were 213 patients with BRI were diagnosed by MSCT scan, including 46 patients underwent the excretory phase scanning. Among the 213 patients with BRI, 75 cases were grade Ⅰ, 46 cases were grade Ⅱ, 44 cases were grade Ⅲ , 27 cases were grade Ⅳ, 24 cases were grade Ⅴ. The compliance rate of MSCT enhancement scan on BRI of grade Ⅰ, Ⅱ, Ⅲ, Ⅳ, Ⅴ were 89.28%, 86.00%, 88.00%, 93.10% and 100.00%, respectively. There were 185 patients with BRI were di