16层螺旋CT三维重建技术在泌尿系梗阻诊断中应用价值.docVIP

16层螺旋CT三维重建技术在泌尿系梗阻诊断中的应用价值 　　摘要：目的 探讨16层螺旋CT三维重建技术在泌尿系梗阻增强扫描时的应用价值。方法 37例泌尿系梗阻病变行16层螺旋CT平扫，增强扫描及延时尿路造影扫描，利用后处理技术对延时扫描资料进行三维重建处理，可以得到包括肾盏肾盂输尿管及膀胱完整的尿路三维成像。结果 16层螺旋CT延时尿路造影可清楚的显示泌尿系解剖结构及病变原因和尿路间的位置关系。37例患者中，泌尿系结石30例，肾盂输尿管重复畸形3例，巨输尿管症2例，肾盂输尿管联合部狭窄2例，CT结果与临床诊断符合。结论 16层螺旋CT平扫，增强扫描及延时尿路造影扫描对于显示泌尿系疾病部位，病因和尿路梗阻程度有高效，安全可靠地特点，作为泌尿系梗阻疾病的诊断的一种无创伤的影像学方法值得使用推广。 　　关键词：16层螺旋CT；延时尿路造影；泌尿系梗阻疾病诊断 　　Application Value of 16 Slice Spiral CT 3D Reconstruction in Diagnosis of Urinary Tract Obstruction 　　ZHAO Lin 　　（Department of Urology ， People’s Hospital of Daye City，Daye 435100，Hubei，China） 　　Abstract：Objective To explore the application value of 16 slice spiral CT 3D reconstruction in the enhancement of urinary system obstruction. Methods 37 cases of urinary tract obstruction， 16 slice spiral CT plain scan， enhanced and delayed scan urography scanning， the processing technology of delay scan data for 3D reconstruction can be obtained， including renal calyx and pelvis ureter and bladder intact urinary tract 3D imaging. Results The 16 slice spiral CT delay time of urinary tract imaging can clearly display the anatomic structure and the relationship between the pathological changes and the urinary tract. 37 cases of 2 patients， 30 cases of urinary calculi， 3 cases of duplication of renal pelvis and ureter， 2 cases of giant ureter， 2 cases of renal pelvis and ureter stenosis， CT results were consistent with the clinical diagnosis. Conclusion 16 slice spiral CT plain scan， enhanced and delayed scan urography scanning for display parts of the urinary system diseases， etiology and urinary tract obstruction degree of efficient， safe and reliable characteristics， as the diagnosis of urinary tract obstruction diseases a noninvasive imaging methodology is worthy to？be popularized. 　　Key words：16 slice spiral CT delayed urinary tract imaging；Diagnosis of urinary tract obstruction 　　CT三维图像时采取薄层连续或重叠扫描并借助计算机处理而获得的三维立体图像，较常规CT的二维图像有更高的定位价值；多层螺旋CT是高影像质量，无创伤的检查方法，弥补了尿路平片，静脉尿路造影和分层射片对于一些阴性结石诊断