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MSCTU成像技术在小儿先天性肾输尿管发育异常中的临床应用
引用本文:代燕增,张巧权,谢俐萍,刘忠厚.MSCTU成像技术在小儿先天性肾输尿管发育异常中的临床应用[J].CT理论与应用研究,2010,19(4):99-110.
作者姓名:代燕增  张巧权  谢俐萍  刘忠厚
作者单位:云南省曲靖市妇幼医院放射科;
摘    要:目的:探讨三聚氰胺奶粉事件超声普查发现肾输尿管不明原因积水扩张后,经多层螺旋CT尿路造影检查后找到积水原因,得出影像诊断分析结论。方法:超声筛查均无尿路结石,但肾输尿管不明原因积水扩张,所有病例行多层螺旋CT尿路造影成像技术诊断分析,15例经手术证实。结果:多层螺旋CT尿路造影成像技术诊断,60例小儿主要为先天性肾输尿管发育异常致肾输尿管积水扩张及一侧肾缺如、异位。分析CT表现,多层螺旋CT尿路造影对泌尿系发育异常的诊断正确率为98.3%(59/60),优于传统静脉肾盂造影及超声检查(p0.05)。结论:超声检查应作为一种泌尿系统先天性疾病的筛查手段,而多层螺旋CT尿路造影作为泌尿系统先天性疾病的重要检查方法。多层螺旋CT尿路造影具有快速、无创、分辨率高等优点,结合多种图像后处理技术,能直观、立体显示泌尿系的全过程,是诊断泌尿系先天发育异常的理想方法,具有极高的临床应用价值。

关 键 词:多层螺旋CT  尿路造影  小儿  先天性肾输尿管发育异常

Multi-slice CT Urography Imaging in Children Congenital Kidney and Ureter Development Abnormal of Clinical Value
DAI Yan-zeng,ZHANG Qiao-quan,XIE Li-ping,LIU Zhong-hou.Multi-slice CT Urography Imaging in Children Congenital Kidney and Ureter Development Abnormal of Clinical Value[J].Computerized Tomography Theory and Applications,2010,19(4):99-110.
Authors:DAI Yan-zeng  ZHANG Qiao-quan  XIE Li-ping  LIU Zhong-hou
Institution:DAI Yan-zeng,ZHANG Qiao-quan,XIE Li-ping,LIU Zhong-hou(Department of Radiology,Qujing Women and Children Hospital,Yunnan Qujing 655000,China)
Abstract:objective:To investigate the melamine milk powder incident by ultrasound screening for kidney and ureter due to unexplained expansion of water,by multi-slice CT urography after inspection found water reasons,come to imaging diagnosis conclusion.Methods:Ultrasound screening of urinary tract stones were not defected,but the kidney and ureter due to unexplained expansion of water,all cases were done by multi-slice CT urography in imaging diagnosis was confirmed by surgery in 15 cases.Results:The multi-slice CT...
Keywords:multi-slice CT  urography  children  congenital kidney and ureter development abnormal  
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