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超声联合CT检查诊断肾结核的应用价值

The Application Value of Ultrasound Combined with CT Examination in the Diagnosis of Renal Tuberculosis
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摘要 目的 探讨超声联合CT检查以及实验室检查在肾结核诊断中的一致性,评估两种影像学方法的诊断效能,为临床医师制定治疗方案提供影像学依据。方法 回顾性分析于2021年1月至2024年12月在安徽省胸科医院经临床诊断为肾结核的患者51例,对超声、CT检查结果进行分析,评估两种检查方法的一致性。结果 超声检查提示肾结核患者44例,CT检查提示肾结核患者43例,实验室检查结果提示肾功能异常患者17例,肾功能无异常患者34例,经研究分析,超声与CT两种检查方法诊断肾结核具有高度一致性(P<0.001)。结论 在肾结核的诊断中,超声与CT检查在其诊断中具有较高的一致性,可作为互补的影像学诊断手段,结合两种检查方法的优势可提高肾结核的诊断准确性。 Objective To explore the consistency of ultrasound combined with CT examination and laboratory tests in the diagnosis of renal tuberculosis,and to evaluate the diagnostic efficacy of the two imaging methods,providing an imaging basis for clinicians to formulate treatment plans.Methods A retrospective analysis was conducted on 51 patients diagnosed with renal tuberculosis at the Anhui Provincial Chest Hospital from January 2021 to December 2024.The results of ultrasound and CT examinations were analyzed to assess the consistency between the two imaging methods.Results Ultrasound examination suggested renal tuberculosis in 44 patients,while CT examination suggested renal tuberculosis in 43 patients.Laboratory tests showed abnormal renal function in 17 patients and normal renal function in 34 patients.The study found that ultrasound and CT examinations had a high degree of consistency in diagnosing renal tuberculosis(P<0.001).Conclusion In the diagnosis of renal tuberculosis,ultrasound and CT examinations show a high degree of consistency and can serve as complementary imaging diagnostic tools.Combining the advantages of both methods can improve the diagnostic accuracy of renal tuberculosis.
作者 高栩 于琦芮 明帅 刘盛盛 GAO Xu;YU Qi-rui;MING Shuai;LIU Sheng-sheng(Department of Ultrasound,Anhui Chest Hospital,Hefei 230000,Anhui Province,China;Graduate School of Bengbu Medical University,Bengbu 233030,Anhui Province,China;Department of Imaging,the First Affiliated Hospital of USTC,Hefei 230001,Anhui Province,China;Department of Tuberculosis,Anhui Chest Hospital,Hefei 230000,Anhui Province,China)
出处 《中国CT和MRI杂志》 2025年第7期116-117,121,共3页 Chinese Journal of CT and MRI
基金 安徽省重点研发生命健康A类项目(2022e0702007)。
关键词 肾结核 联合 超声检查 诊断价值 Renal Tuberculosis Combination Ultrasound Examination Diagnostic Value
作者简介 第一作者:高栩,女,主治医师,主要研究方向:结核病、胸部肿瘤及疑难病影像学诊断。E-mail:gaoxu8976@163.com。
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