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64排螺旋CT尿路造影对原发输尿管癌的诊断价值
引用本文:祝志臻,赵广文,吴戈,霍建伟,曾庆玉.64排螺旋CT尿路造影对原发输尿管癌的诊断价值[J].CT理论与应用研究,2007,16(1):65-69.
作者姓名:祝志臻  赵广文  吴戈  霍建伟  曾庆玉
作者单位:1. 北京市煤炭总医院,北京100028
2. 辽宁省绥中县医院,辽宁省,绥中县125200
摘    要:目的: 分析原发输尿管癌的CT表现,评价64排螺旋CT尿路造影对原发输尿管癌的诊断价值.方法: 分析48例经病理证实原发输尿管癌患者64排螺旋CT尿路造影的影像表现,对多层面重建、曲面重建、容积显示(VR)和最大密度投影(MIP)等多种后处理技术结合原始横轴位图像进行综合分析.结果: 48例原发输尿管癌患者,发生于上段5例、中段12例、下段24例,7例为多发.28例可见输尿管梗阻,梗阻上段输尿管均有不同程度扩张和肾盂积水.结论: 64排螺旋CT尿路造影准确评估原发输尿管癌的位置、形态、范围及周围组织改变,可靠、准确,可作为目前临床检查原发输尿管癌的首选影像诊断方法之一.

关 键 词:体层摄影术  输尿管    诊断
文章编号:1004-4140(2007)01-0065-05
修稿时间:2007年1月9日

Application of 64 Multi-detector Helical CT Urography in Evaluation of Primary Ureteral Carcinoma
ZHU Zhi-zhen,ZHAO Guang-wen,WU Ge,HUO Jian-wei,ZENG Qing-yu.Application of 64 Multi-detector Helical CT Urography in Evaluation of Primary Ureteral Carcinoma[J].Computerized Tomography Theory and Applications,2007,16(1):65-69.
Authors:ZHU Zhi-zhen  ZHAO Guang-wen  WU Ge  HUO Jian-wei  ZENG Qing-yu
Abstract:Objective: To study the feature of CT in primary ureteral carcinoma,to evaluate the diagnostic value of 64 multi-detector helical CT Urography in primary ureteral carcinoma.Methods: The CTU finding of primary ureteral carcinoma were analysed in 48 cases.The data was transmitted to ADW4.2 workstation,and reconstructed by MPR,CPR,VR,VE and generally analyzed with original axial images.Results: Of 48 primary ureteral carcinoma cases,5 cases are located in upper segment of the ureter,12 cases in middle segment,24 cases in lower segment and multiple is 7 cases.28 cases presented urinary obstruction,distention and hydronephrosis.Conclusion: The location,the shape,the spectrum of primary ureter carcinoma and change of surrounding tissue were clear in 64-MDCTU,is reliable and accurate in evaluating tumor,gradually become one of the first modality diagnose in primary ureteral carcinoma.
Keywords:tomography  ureter  carcinoma  diagnosis
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