尿路病变CT尿路造影的临床应用.pdfVIP

- 213- 腹部影像学 ABDOMINAL IMAGING 尿路病变 CT 尿路造影的临床应用 徐学勤董海鹏陈克敏方文强凌华威 [摘要]目的:探讨 CT 尿路造影(CTU)在尿路病变中的临床诊断价值。材料和方法:对 34 例经临床和病理证实 的尿路病变患者的 CTU 影像资料进行回顾性分析;所有患者采用 16 层 CT 进行平扫、增强及 CTU(排泄期成 像)检查，并将图像进行最大密度投影重建(MIP) 、曲面重建(CPR) 和三维容积重建(VR) 。将各种重建方法所得 图像诊断价值分为三级:0 级:不能进行定位定11分析; 1 级:可定位分析但不能定性分析;2 级:能进行定位定性 分析。比较各种重建方法的临床诊断价值，比较 CT 平扫、增强及 CTU 图像对各类尿路疾病的诊断价值。结果: 曲面重建和 MIP 重建方法在 CTU 成像中具有较高的定位定性诊断价值，平扫、增强及 CTU 图像对不同类型 的尿路疾病诊断价值不同。结论:对于尿路病变 CTU 检查具有较高的临床应用价值，不同类型的尿路病变应合 理地选用 CTU o [关键词] 尿路病变;多层螺旋 CT; 尿路造影 中图分类号:R814 .42 文献标识码:A 文章编号:1006-5741(2008) -03-0213 一 04 CT Urography in the Diagnosis of the Uropathy XU Xue- q仰， DONG Hai - peng , CHEN Ke - m切， et al [Abstract] Purpose: To evaluate the clinica1 diagnosis of CT urography(CTU) in the uropathy. Mate- rials and Methods: CTU were performed in 34 patients with uropathy confirmed by clinic and patholo- gy. And maximum intensity projection (MI肘， curved planar reformation(CPR) , three dimensional re- construction (3D) images were finished. The diagn佣tic values of them were classified in 3 grades: 0- grade for non diagnostic value , 1 - grade for only localization of lesion , 2 - grade for localization and characterization. The diagnostic value of the three reformation methods was compared. Unenhanced CT , enhanced CT and CTU were confirmed. The diagnostic value of these images was compared. Results: CPR 缸ld MIP have greater diagnostic value. The diagnostic values of three imaging methods were dif- ferent. Conclusion: CTU has