【摘要】 目的:探讨多层螺旋CT在上尿路梗阻性疾病诊断中的应用价值。方法:对60例上尿路梗阻性疾病的患者行多层螺旋CT平扫加增强检查。结果:60例均获得明确诊断,其中输尿管结石12例,输尿管良性狭窄7例,肾盂输尿管连接部梗阻19例,肾结核9例,巨输尿管2例,输尿管癌5例,输尿管外压迫6例。病因诊断由输尿管镜或开放手术证实。结论:对上尿路梗阻患者,尤其当超声和IVU未能明确诊断梗阻原因时,可以行多层螺旋CT平扫加增强的检查以判断梗阻原因,有助于确诊。更多还原

【Abstract】 Objective:To explore the diagnostic value of multi-slice spiral CT in the patients with upper urinary tract obstructive diseases.Methods:Contrast enhanced spiral CT were performed in 60 qualified patients.Results:All the cases have been definitely diagnosed including ureteral calculi in 12, benign ureteral stricture in 7, ureteropelvic junction obstrction in 19, renal tuberculosis in 9, megaureter in 2, ureteral carcinoma in 5 and extra-ureteral causes in 6. The diagnosis were confirmed by endoscopy or open surgery.Conclusions:Contrast enhanced spiral CT is an effective modality in the diagnosis of the patients with upper urinary tract obstructive diseases.更多还原