本文選題：CT造影 + 血尿　； 參考：《大連醫(yī)科大學》2012年碩士論文

【摘要】：目的：探討多層螺旋CT尿路造影(Multi-slice spiral CT urography，，MSCTU)在非腎小球血尿診斷中的價值。 材料和方法：前瞻性分析我院2009年10月～2012年2月血尿患者,依據(jù)實驗設計的血尿診斷流程對所有患者行病史采集、體格檢查、尿液檢查、泌尿系統(tǒng)超聲檢查及MSCTU檢查,根據(jù)超聲檢查及MSCTU結(jié)果進一步行其他檢查如膀胱鏡檢查、輸尿管鏡及病理檢查等明確血尿原因。評估CTU在腎癌、上尿路腫瘤、結(jié)石等患者在超聲和膀胱鏡檢查后作為補充手段的應用價值。用單因素及多因素統(tǒng)計方法分析影響CTU陽性結(jié)果的相關因素。 結(jié)果：共收集112例病人，其中31例血尿病人沒有檢測到明確病因，43例血尿患者為良性病變，38例血尿患者為惡性病變。112例血尿患者行橫斷面掃描有81例發(fā)現(xiàn)了上尿路系統(tǒng)的病變。超聲結(jié)果（OR值6.224，95%CI:1.094-10.536，P=0.001）和血尿的類型（OR值4.047，95%CI:1.693-9.669，P=0.02)是CTU陽性結(jié)果的重要指標。37例患者超聲檢查沒有發(fā)現(xiàn)異常，其中有12例CTU發(fā)現(xiàn)存在病變。28例鏡下血尿患者經(jīng)CTU檢查并沒有發(fā)現(xiàn)上尿路病變的損害，而18例鏡下血尿的患者經(jīng)CTU檢查發(fā)現(xiàn)了上尿路疾病。 結(jié)論：對于鏡下血尿患者，超聲檢查可以排除明顯的上尿路疾病。對于肉眼血尿的患者，發(fā)生上尿路疾病的可能性很高，CTU可作為首選的檢查方式。
[Abstract]:Objective: to evaluate the value of multi-slice spiral CT urography MSCTU in the diagnosis of non-glomerular hematuria. Materials and methods: patients with hematuria in our hospital from October 2009 to February 2012 were prospectively analyzed. History collection, physical examination, urine examination, ultrasound examination of urinary system and MSCTU examination were performed on all patients according to the procedure of hematuria diagnosis designed by the experiment. Other examinations such as cystoscopy, ureteroscopy and pathology were performed according to the results of ultrasonography and MSCTU to determine the causes of hematuria. To evaluate the application value of CTU in renal carcinoma, upper urinary tract tumor, stone and other patients after ultrasonography and cystoscopy. Univariate and multivariate statistical methods were used to analyze the related factors affecting CTU positive results. Results: a total of 112 cases of hematuria were collected. Among them, 31 cases of hematuria had no definite etiology. 43 cases of hematuria were benign lesions. 38 cases of hematuria patients were malignant lesions .112 cases of hematuria patients underwent cross-sectional scanning 81 cases found the lesions of upper urinary tract system. The OR value was 6.22495% (CI: 1.094-10.536P0. 001) and the type of blood and urine (OR = 4.047 ~ 95CI: 1.693-9.669P0.02) was an important index of CTU positive results. There was no abnormality in ultrasound examination in 37 patients. There were 12 patients with CTU and 28 patients with hematuria under the microscope. The lesions of the upper urinary tract were not found by CTU examination, but the diseases of the upper urinary tract were found by CTU examination in 18 patients with hematuria under the microscope. Conclusion: for patients with hematuria under microscope, ultrasound examination can exclude obvious upper urinary tract diseases. For patients with naked hematuria, the risk of upper urinary tract disease is high.
【學位授予單位】：大連醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2012
【分類號】：R816.7

【參考文獻】

相關期刊論文 前5條

1 趙衛(wèi);;血細胞分析儀鑒別血尿來源76例分析[J];當代醫(yī)學;2010年18期

2 杜中立;劉玉濤;陳海東;肖萬宏;孫放;毛俊;陳敏;李偉;何虹;;腎及輸尿管結(jié)石的檢測:16層螺旋CT低劑量平掃與IVU的對照研究[J];中國臨床醫(yī)學影像雜志;2007年04期

3 萬旭輝,陳善勤,賴建平;軟性膀胱鏡的臨床應用(附2300例報告)[J];中國內(nèi)鏡雜志;2004年10期

4 李改;易書英;戚昕元;;腔內(nèi)超聲診斷輸尿管下段腫瘤的價值[J];中華超聲影像學雜志;2006年08期

5 莊啟湘;胡春洪;;靜脈腎孟造影后64層CT尿路成像對輸尿管結(jié)石的診斷價值[J];中國現(xiàn)代藥物應用;2008年22期

本文編號：2048689