１６层螺旋ＣＴ成像技术在诊断输尿管小结石中价值.docVIP

１６层螺旋ＣＴ成像技术在诊断输尿管小结石中价值 　　【摘要】目的：探讨16层螺旋CT及多种重建技术对输尿管小结石的诊断价值。方法：回顾性分析我院32例临床可疑输尿管结石而常规KUB、B超及IVP检查不能明确诊断，行16层螺旋CT扫描和多种重建技术后明确诊断者的资料，32例均行16层螺旋CT平扫，其中8例平扫后静脉注射76％泛影葡胺40 ml延时扫描，扫描层厚5 mm，重建层厚及间隔均为1 mm，将原始数据传输至工作站进行图像后处理，获得多种输尿管重建图像。结果：32例中确诊结石29例，提供结石无关性诊断3例，确诊结石大小较常规KUB检查有变化者6例，所有结石病变螺旋CT扫描结果与术中所见一致。结论：16层螺旋CT扫描和多种重建技术能直观地显示输尿管结石，在发现和排除结石、测量结石大小上极其可靠，是目前诊断输尿管结石最准确、最有价值的方法之一。 　　【关键词】16层螺旋CT；输尿管；小结石；重建技术 　　文章编号：1009-5519（2008）03-0325-02 中图分类号：R81 文献标识码：A 　　The value of 16-slice spiral CT reconstruction technique in the diagnosis of ureter micro-calculi 　　SHEN Li-rong1，ZHANG Li-yun2，GUAN Han-xiong3 　　（1.Department of Radiology，The Central Hospital of Gaizhou，Liaoning 115200，China；2.Department of Radiology，Houjie Hospital of Dongwan，Guangdong 523945，China；3.Department of Radiology，Tongji Hospital Affiliated to Tongji Medical College，Huazhong University of Science and Technology，Wuhan 430030，China） 　　【Abstract】Objective：To study the value of 16-slice spiral CT reconstruction technique in the diagnosis of ureter micro-calculi.Methods：The clinical data of well-defined diagnosis by 16-slice spiral CT scan and poly-reconstruction technique were analysed retrospectively in 32 cases who were suspected as ureter calculus and unable to be diagnosed definitely by routine KUB，B-mode ultrasound and IVP examination，in which delayed scan of 76% meglucamine diatrizoate 40 ml intravenous drip was used in 8 cases after plain CT scan.With scan thickness 5 mm and reconstruction thickness and interval 1 mm，the ureter reconstruction images were got by work station.Results：Of 32 cases suspected as ureter calculus，29 were confirmed by CT scan and 3 non-ureter calculus.The result of CT scan was in agreement with that of operan.Conclusion：16-slice spiral CT scan and poly-reconstruction technique could directly visualize the ureter stone，at present，it is one of the most accurate and valuable methods in the diagnosis of ureter stone. 　　【Key words】16-slice spiral CT；Ureter；Micro-calculus；R