CT 尿路造影在评估梗阻性尿路病患者中的作用:对一家城市三级医院 50 名患者的前瞻性研究

Sumit Pawar
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引用次数: 0

摘要

简介梗阻性尿路病是一种比较常见的临床问题,如果治疗不及时,会导致不可逆转的肾损伤。本研究旨在评估多载体计算机断层成像(MDCT)尿路造影术在评估梗阻性尿路病变中的作用。这项前瞻性研究的对象是 50 名连续出现单侧或双侧肾积水的受试者,这些受试者被转诊接受 CT 尿路造影检查,以确定梗阻部位和原因。在 50 名受试者中,45 名受试者的尿路梗阻是单侧的(结果:90%)。只有 5 名受试者(10%)出现双侧尿路梗阻。最常见的尿路梗阻原因是尿路结石,共占 41 名受试者(82%)(74%为单侧梗阻,8%为双侧梗阻)。其中,9 名受试者的结石位于肾盂,32 名受试者的结石位于输尿管。其次最常见的原因是膀胱肿块,4 名受试者(8%)的膀胱肿块导致单侧尿路梗阻,1 名受试者(2%)的膀胱肿块导致双侧尿路梗阻。其他较少见的尿路梗阻原因包括 PUJ 梗阻 2 例(4%)和输尿管狭窄 2 例(4%)。 MDCT 尿路造影对于全面评估梗阻性尿病非常有用,可快速检测梗阻程度和原因,这对于及时有效的治疗至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
ROLE OF CT UROGRAPHY IN EVALUATION OF PATIENTS WITH OBSTRUCTIVE UROPATHY: A PROSPECTIVE STUDY OF 50 PATIENTS IN A URBAN TERTIARY CARE HOSPITAL
Introduction: Obstructive uropathy is a relatively common clinical problem which if not treated timely can lead to irreversible renal damage. Therefore, accurate diagnosis is important for timely management. The purpose of present study is t Aim: o assess role Multidetector Computed Tomography (MDCT) urography in evaluation of obstructive uropathy. This prospective study was condu Materials and Methods: cted on 50 consecutive subjects presenting with evidence of unilateral or bilateral hydronephrosis and who were referred for CT urography for detection of site and cause obstruction. Out of 50 subjects, urinary obstruction was unilateral in 45 subjects ( Results: 90%) in our study. Only 5 subjects (10%) had bilateral urinary obstruction. Most common cause of urinary obstruction was urinary tract calculi which accounted for a total of 41 subjects (82%) (74 % had unilateral obstruction and 8% had bilateral urinary obstruction). Out of these, 9 subjects had calculi in the renal pelvis and 32 subjects had ureteric calculi. Second most common cause was urinary bladder masses which were causes of unilateral obstruction in 4 subjects (8%) and bilateral obstruction in 1 subject (2%). Other less common causes of urinary obstruction were PUJ obstruction in 2 subjects (4%) & ureteric stricture 2 subjects (4%) MDCT urography is very useful for complete evaluation of obstruc Conclusion: tive uropathy and allows rapid detection of level and cause of obstruction which is critical for timely and effective management.
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