多层螺旋CT后处理技术在泌尿系结石诊断中的应用-医学信息.PDF

疗 技术 学信息2019 年4 月第32 卷第7 期 Medical Information Apr. 2019 Vol. 32 No.7 层螺旋CT 后处理技术在泌尿系结石 诊断中的应用价值 蒋威 徐 爽 渊合肥市第五人民医院放射科 安徽 合肥 230011冤 摘要 目的 探讨多层螺旋CT 后处理技术在泌尿系结石诊断中的应用价值遥 方法 11 例泌尿系结石患者中 7 例直接行泌尿系 CT 平扫后+三维重建 4 例先行 CT 平扫 后进行尿路造影检查渊CTU冤 两种方法扫描后应用容积重建渊VR 冤尧多层面重建 渊MPR冤及曲面重建渊CPR冤等技术来分析观察结石的形态尧大小尧密度尧数目以及发病部位遥结果 11 例结石患者中 阳性结石10 例渊CT 值约500 Hu~1100 Hu冤 阴性结石1 例渊CT 值约40 Hu冤 35 枚结石 鹿角状9 枚 结节状26 枚遥 单纯肾结石3 例 单 纯输尿管结石1 例 肾结石合并输尿管结石6 例遥合并不同程度肾积水7 例 合并肾周筋膜炎和输尿管周围炎1 例遥结论 多层 螺旋CT 后处理技术在治疗前可准确评估泌尿系结石的状态 有助于临床泌尿系结石的诊断遥 关键词 泌尿系结石 曰多层螺旋CT 曰后处理技术 中图分类号 R816.7 文献标识码 A DOI:10.3969/j .issn.1006-1959.2019.07.054 文章编号 1006-1959渊2019冤07-0170-03 The Application Value of Multi-slice Spiral CT Post-processing Technique in the Diagnosis of Urinary Calculi J IANG Wei,XU Shuang (Department of Radiology,the Fifth Peoples Hospital of Hefei,Hefei 230011,Anhui,China) Abstract ：Obj ective To investigate the application value of multi -slice spiral CT post -processing technique in the diagnosis of urinary calculi. Methods 11 patients with urinary calculi, 7 underwent direct urinary CT scan + 3D reconstruction, 4 underwent CT plain scan, and then urography (CTU). Volumetric reconstruction was performed after scanning), multi -layer reconstruction (MPR) and surface reconstruction (CPR) techniques to analyze the shape, size, density, number and location of the stone. Results Among the 11 patients with stones, 10 cases were positive stones (CT value was about 500 Hu-1100 Hu), and 1 case of negative stones (CT value was about 40 Hu). There were 35 stones, 9 antlers and 26 nodules. There were 3 cases of simple kidney stone