多层螺旋CT平扫联合尿路重建在急性肾绞痛诊断中的临床
应用
陈刚;吴小候;尹志康;何云锋
【期刊名称】《重庆医学》 【年(卷),期】2011(040)033
【摘要】目的 探讨多层螺旋CT平扫联合尿路重建在急性肾绞痛诊断中的的临床应用价值.方法 将126例急诊肾绞痛患者随机分两组:CT组(67例)和静脉尿路造影(IVU)组(59例),CT组行多层(16层或64层)螺旋CT平扫联合尿路重建,IVU组行相关准备后行腹部X线平片(KUB)联合IVU检查.在明确诊断为输尿管梗阻或输尿管结石后,急诊行输尿管镜碎石术或置管治疗,比较两组患者的术前结石确诊率、肾绞痛缓解时间、住院时间及住院总费用等.结果 所有患者术后肾绞痛均缓解,CT组术前结石确诊率明显高于IVU组(P＜0.05),CT组肾绞痛缓解时间和住院时间短于IVU组(P＜0.05),CT组住院总费与IVU组比较差异无统计学意义(P＞0.05).结论 多层螺旋CT平扫联合尿路重建对于急诊肾绞痛患者的诊治是高效和相对经济的.%Objective To investigate clinical application of multi-slice helical CT plain scan combined with urinary reconstruction in diagnosis of acute renal colic. Methods 126 patients with acute renal colic were randomized divided into two groups. 67 cases were diagnosed by multi-slice helical CT combined with urinary reconstruction and 59 cases were diagnosed by abdominal plain film radiography combined with IVU. All patients were treated by ureteroscope lithotripsy. The stone diagnosis rate was compared as well
多层螺旋CT平扫联合尿路重建在急性肾绞痛诊断中的临床应用
