Application Value of Spiral CT Urography in Diagnosis of Upper Urinary Tract Obstruction Diseases_West China Medical Journal

Authors：

LI Ting ^1,2 , GUO Chunmei ^1,2 , WANG Chenglong ¹ , LI Zhenlin ¹ , ZHANG Hongjing ¹ ,  WU Bing ¹

1. Department of Radiology, West China Hospital of Sichuan University, Chengdu, Sichuan 610041, P. R. China; 2. Department of Radiology, People’s Hospital of Mianyang, Mianyang, Sichuan 621000, P. R. China;

Corresponding author：

WU Bing, Email: 57736021@qq.com

Keywords：

CT尿路造影; 尿路梗阻

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【摘要】　目的　探讨64层螺旋CT尿路造影在上尿路梗阻性病变中的运用及诊断价值。　方法　收集2009年12月—2011年1月132例行螺旋CT尿路造影，并确诊为上尿路梗阻病变患者资料，分析其图像特点并与手术及病理结果对比。　结果　 132例患者经临床及手术病理证实，输尿管结石31例，先天异常及畸形51例，输尿管感染性病变16例，尿路肿瘤29例，外源性压迫3例，肾盂旁囊肿2例；所有患者均显示良好，与临床及病理结果基本吻合。　结论　 CT尿路造影能多方位清楚显示病变内部及周围情况，可准确的显示、判断尿路梗阻的原因、性质，是一种对泌尿系疾病诊断极有价值的影像学检查方法。
【Abstract】　Objective　 To discuss the utilization and diagnostic value of 64-slice spiral CT urography for upper urinary tract obstruction diseases. 　Methods　 We collected the clinical data of 132 patients who were diagnosed with upper urinary tract obstruction by 64-slice spiral CT urography between December 2009 and January 2011. We analyzed the imaging features and compared them with surgical and pathological results. 　Results　 Confirmed by surgical and pathological results, 132 patients included 31 cases of urethral stone, 51 cases of congenital variant and malformation, 16 cases of ureteral infection, 29 cases of tumors in urinary tract, 3 cases of extraneous compression, and 2 cases of cysts next to the renal pelvis. CT diagnosis for all cases were basically in line with clinical and pathological results. 　Conclusion　 CT urography is an extremely valuable imaging method to diagnose the diseases of urinary system. It can display lesions broadly and reveal their inner and peripheral circumstances clearly, thus can help us determine the reasons and natures of the lesions precisely.

Citation： LI Ting,GUO Chunmei,WANG Chenglong,LI Zhenlin,ZHANG Hongjing,WU Bing. Application Value of Spiral CT Urography in Diagnosis of Upper Urinary Tract Obstruction Diseases. West China Medical Journal, 2011, 26(5): 702-706. doi: Copy

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3.	舒红格, 漆剑平, 黄文华, 等. MSCT尿路成像诊断泌尿系统疾病: 与IVP检查的对比研究[J]. 放射学实践, 2006, 21(5): 468-470.
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12.	van der Molen AJ, Cowan NC, Mueller Lisse UG, et al. CT urography: definition, indication s and techniques. Aguide line for clinical practice[J]. Eur Radiol, 2008, 18 (1): 4-17.
13.	Cheryl A. Sadow, Shane C. Wheeler, Jihoon Kim, et al. Positive predictive value of CT urography in the evaluation of upper tract urothelial cancer[J]. AJR, 2010, 195(9): 337-343.
14.	顾钱峰, 陈俊波, 任能. 多层螺旋CT尿路成像对原发性输尿管癌的诊断价值[J]. 医学影像学杂志, 2010, 20(1): 141-142.
15.	Martingno P, Stacul F, Cavallaro M, et al. 64-Slice CT urography: 30 months of clinical experience[J]. Radiol Med, 2010, 115(6): 920-935.
16.	Kawashima A, Vrtiska TJ, LeRoy AJ, et al. CT urography[J]. Radiographics, 2004, 24 (1): 35-54.
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19.	Nolte-Emsting C, Cowan N. Understanding multislice CT urography techniques: many roads lead to Rome[J]. Eur Radiol, 2006, 16(12): 2670-2686.
20.	Coppenrath E, Meindl T, Herzng P, et al. Dose reduction in multidetector CT of the urinary tract. Studies in aphantom model[J]. Eur Radioi, 2006, 16(9): 1982-1989.
21.	Martingno P, Stacul F, Cavallaro MF, et al. 64-Slice CT urography: optimisation of radiation dose[J]. Radiol Med, 2011, 2(1): 120-134.
22.	Stacul F, Rossi A, Cova MA. CT urography: the end of IVU? [J]. Radiol Med, 2008, 1(13): 658-669.

1. 　陶然, 赵跃华, 刘金, 等. 螺旋CT多层面和多维重建在泌尿系疾病诊断中的应用[J]. 中华泌尿外科杂志, 2007, 28(6): 382-338.
2. 　Caoili EM, Cohan RH, Korovkin M, et al. Urinary tract abnormalities: initial experience with multidetector row CT urography[J]. Radiology, 2002, 222(2): 353-360.
3. 　舒红格, 漆剑平, 黄文华, 等. MSCT尿路成像诊断泌尿系统疾病: 与IVP检查的对比研究[J]. 放射学实践, 2006, 21(5): 468-470.
4. 　黄忠雄, 何玉成, 胡六才, 等. 16 层螺旋CT尿路三维重建在泌尿系梗阻性疾病诊断中的价值[J]. 放射学实践, 2008, 26(1): 59-61.
5. 　Rimondini A, Morra A, Bertolotto M, et al. Spiral CT with multiplanar reconst ructions (MPRS) in the evaluation of ureteral neoplasms: preliminary results[J]. Radiol Med, 2001, 101(6): 459-465.
6. 　张瑜, 李霄麟, 于红, 等. 多层CT尿路造影: 一种改良尿路显影法的初步应用[J]. 中国计算机成像杂志, 2009, 15(4): 385-388.
7. 　李澄, 王礼同, 汤晓明, 等. 多层螺旋CT曲面重建尿路成像技术的应用[J]. 放射学实践, 2004, 19(9): 644-646.
8. 　徐怡, 王小宁, 唐立钧, 等. MSCTU对泌尿系统先天性疾病的诊断价值[J]. 中国医学计算机成像杂志, 2006, 12(1): 40-43.
9. 　徐学勤, 董海鹏, 陈克敏, 等. 尿路病变CT尿路造影的临床应用[J]. 中国医学计算机成像杂志, 2008, 14(3): 213-216.
10. 　李松年. 中华影像医学泌尿生殖系统卷[M]. 北京: 人民卫生出版社, 2002: 78.
11. 　王万勤, 刘斌, 余永强, CT尿路成像技术现状[J]. 国际医学放射学杂志, 2009, 32(51): 467-470.
12. 　van der Molen AJ, Cowan NC, Mueller Lisse UG, et al. CT urography: definition, indication s and techniques. Aguide line for clinical practice[J]. Eur Radiol, 2008, 18 (1): 4-17.
13. 　Cheryl A. Sadow, Shane C. Wheeler, Jihoon Kim, et al. Positive predictive value of CT urography in the evaluation of upper tract urothelial cancer[J]. AJR, 2010, 195(9): 337-343.
14. 　顾钱峰, 陈俊波, 任能. 多层螺旋CT尿路成像对原发性输尿管癌的诊断价值[J]. 医学影像学杂志, 2010, 20(1): 141-142.
15. 　Martingno P, Stacul F, Cavallaro M, et al. 64-Slice CT urography: 30 months of clinical experience[J]. Radiol Med, 2010, 115(6): 920-935.
16. 　Kawashima A, Vrtiska TJ, LeRoy AJ, et al. CT urography[J]. Radiographics, 2004, 24 (1): 35-54.
17. 　McCollough CH, Daly TR, King BF Jr, et al. An auxiliary CT tabletop for radiography at the time of CT[J]. J Comput Assist Tomogr, 2001, 25(6): 876-880.
18. 　杨辰瑶, 王国年, 杨烁慧, 等. IVP、CTU和MRU在泌尿系结石的应用价值[J]. 中国保健营养, 2009, 44(2): 44-45.
19. 　Nolte-Emsting C, Cowan N. Understanding multislice CT urography techniques: many roads lead to Rome[J]. Eur Radiol, 2006, 16(12): 2670-2686.
20. 　Coppenrath E, Meindl T, Herzng P, et al. Dose reduction in multidetector CT of the urinary tract. Studies in aphantom model[J]. Eur Radioi, 2006, 16(9): 1982-1989.
21. 　Martingno P, Stacul F, Cavallaro MF, et al. 64-Slice CT urography: optimisation of radiation dose[J]. Radiol Med, 2011, 2(1): 120-134.
22. 　Stacul F, Rossi A, Cova MA. CT urography: the end of IVU? [J]. Radiol Med, 2008, 1(13): 658-669.

West China Medical Journal

Application Value of Spiral CT Urography in Diagnosis of Upper Urinary Tract Obstruction Diseases

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