| 摘要: |
| ［摘要］ 目的 探讨64层螺旋CT尿路造影（CTU）对泌尿系统先天性发育畸形的诊断价值。方法 对经膀胱镜、手术等临床证实为泌尿系统先天性发育畸形的34例患者行CTU检查，结合分期增强扫描对泌尿系统发育畸形的资料进行统计分析。结果 34例患者中，发现肾脏缺如2例，肾发育不全6例，肾脏融合畸形（马蹄肾）4例；肾盂输尿管重复畸形7例，先天性输尿管狭窄8例，输尿管开口异常4例；膀胱憩室2例，先天性膀胱直肠瘘1例。与手术结果对比，诊断率达到100%。结论 CTU对泌尿系统先天性发育畸形的确诊及分类具有重大临床意义，为临床手术提供指导。 |
| 关键词: 64层螺旋CT 泌尿系统 先天性发育畸形 CT尿路造影 |
| DOI：10.3969/j.issn.1674-3806.2014.08.12 |
| 分类号:R 445 |
| 基金项目: |
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| The value of 64 slice spiral CT urography in the diagnosis of urinary system congenital malformation |
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MO Shao-wu,CHEN Song,HUANG Ze-he,et al.
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Department of Radiology,the First People′s Hospital of Qinzhou,Guangxi 535000,China
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| Abstract: |
| ［Abstract］ Objective To investigate the value of 64 slice spiral CT urography(CTU) in the diagnosis of urinary system congenital malformation.Methods Thirty-four patients who had urinary system congenital malformation which were confirmed by cystoscope and operation were examined with CTU, combined with the staging scan, the statistical analysis of the urinary system malformations were completed.Results Of the 34 patients, renal agenesis was found in 2 cases, renal dysplasia in 6 cases, renal fusion malformation(horseshoe kidney) in 4 cases; duplication of renal pelvis and ureter in 7 cases, congenital ureteral stenosis in 8 cases, abnormal ureteral orifice in 4 cases; bladder diverticulum in 2 cases; congenital bladder fistula of rectum in 1 cases; compared with the results of operation, the diagnosis rate was 100%.Conclusion CTU for the diagnosis and classification of urinary system congenital malformation is of great clinical significance, and provides a guidance for clinical operation. |
| Key words: 64 slice spiral CT Urinary system Congenital malformation CT urography(CTU) |
