CT泌尿系成像在输尿管疾病诊断中的意义.doc

CT泌尿系成像在输尿管疾病诊断中的意义.docCT泌尿系成像在输尿管疾病诊断中的意义金福利余丰年孙晓光石柯楠(营口市中心医院CT室辽宁营口115000)【中图分类号】R445【文献标识码】A【文章编号】1672-5085(2012)14-0005-02【摘要】目的探讨多层螺旋CT泌尿系成像(MSCTU)在输尿管疾病诊断中的应用价值。方法回顾性分析54例MSCTU检查阳性病例,所有病例均行MSCT平扫、增强动、静脉期、分泌期多期扫描,,分别经MPR、CPR、VR、MIP重组。结果原始轴位平扫,与增强动、静脉期、排泄期扫描能够清楚显示病变,经MPR、CPR重组能够更清楚显示病变与周围组织的关系,尤其CPR通过尿液或造影剂对比,可连续显示病变在输尿管的纵向位置,VR及MIP重组能充分显示输尿管的狭窄或完全阻塞。结论MSCTU能够多平面、多方位、立体显示输尿管形态与密度,有利于病变发现,并能同时客观评价双侧肾脏排泄功能,为临床提供全面有价值的资料。【关键词】多层螺旋CT输尿管疾病尿路造影术ThesignificaneeofCTurographyinthediagnosisofuretericdiseaseJinFu・li,YuFeng・nian,SUNXiao-guang’YuXiu・fen.(DepartmentofCT‘theCentreHospitalofYingKou,YingkouLiaoning115002,China)[Abstract]Objective::ToanalysethepatientwithMSCTUin54cases,MSCTplainscanandenhaneedscanincludingarterialphase,venousphase^ultiple-delay-phasescanwereperformedinAllpatient,^:Originalaxialplainsean’andenhancedarterialphase,venousphase^ultiple-delay-phaseseanshowthefocusclearly,WithMPR,CPRcandisplaytherelationshipbetweenthefocusanditstissuesarounditdistinctly,especiallyCPRcontrastofurineandcontrastmedium^RandMIPreconstuctioncanshowthestenosisandobstruct!:MSCTUcanstereographshowureterfrommultipleplanar;multipledirection,andevaluatetheexcretionfunctionofkidneymeanwhile」tofferagoodmetho