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64 排螺旋CT 诊断早期原发性输尿管癌的临床价值[J].pdf

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64 排螺旋CT 诊断早期原发性输尿管癌的临床价值[J].pdf

36‚ORIGINALARTICLEK1WANG,XIAOHUAF2TAN,SHIT€†1100191VDBS2100191VD2SYT€FAUTHORAFFILIATIONSDEPARTMENTOFRADIOLOGY,PEKINGUNIVERSITYTHIRDHOSPITAL,BEIJING100191CORRESPONDINGAUTHORTAN,SHITENSH126COMSM€SES|R73044L2009071620090824SD•2010M181CHINESEJOURNALOFMEDICALIMAGING2010,VOL18,NO1363864†„CTŸ{U55NTHECLINICALVALUEOF64ROWSPIRALCTINDIAGNOSINGEARLYPRIMARYURETERALCARCIMOMAK1Ÿ{U564†„CTY•„NB‹„ZEŸS15MŒHLŸ{U564†„CT•VC,SB††€›FAL9,I›CPRY,10H›MIPYBTHM†,3{U57,P{U58,{U52,6,/7BCTVC,5CKŸ‚59A58_ŸN8,58ŸFVA—584,{U5F•A58H3B9˜,A913,‚92B˜,/{U5‚”FA,5/{U5A•B‚64†„CTYAZA8AUHM,†CT9,VVV4{U5ž’Ÿ,15NB1OM{U5;8•Œ,„9;,ABSTRACTPURPOSETOANALYZETHE64ROWSPIRALCTMANIFESTATIONSANDEVALUATETHEDIAGNOSTICVALUEINEARLYPRIMARYURETERALCARCINOMAMATERIALSANDMETHODSFIFTEENCASESOFEARLYPRIMARYURETERALCARCINOMAPROVEDBYSURGERYANDPATHOLOGYWEREREVIEWDUNENHANCEDSCAN,ENHANCEDSCANINARTERIALPHASE,PARENCHYMALPHASE,DELAYEDPHASEANDCPRCONSTRUCTIONWEREPERFORMEDINALLPATIENTS1MIPWEREPERFORMEDIN10CASES1RESULTSTHELOCALIZATIONOFLESIONS7CASESWERELOCATEDATTHERIGHTURETERAND8CASESATTHELEFT12CASESWERELOCATEDATTHEUPPERPORTIONOFTHEURETER,6ATMIDPORTION,AND7ATLOWERPORTION;CTMANIFESTATIONS8CASESSHOWEDIRREGULARTHICKENEDWALLANDCENTRALLUMENSTENOSIS,4CASESECCENTRICSOFTTISSUEMASSINLUMENANDCRESCENTORLINEARVESTIGIALLUMEN,3CASESSOFTTISSUEDENSITYANDOBSOLESCENTLUMEN;THEENHANCEDFEATURESTHETUMORWASDEMONSTRATEDAPPARENTANDUNIFORMENHANCEMENTIN13CASES,INHOMOGENEOUSENHANCEMENTIN2CASESAFTERADMINISTRATIONOFCONTRASTMEDIUM;THEACCOMPANIEDSIGNSPROXIMATERENALANDURETERALPRESENTEDDISTENTION,DROPSYINDIFFERENTDEGREES,5CASESAPPEAREDDELAYEDDEVELOPMENT1CONCLUSION64ROWSPIRALCTVOLUMESCANAND3DRECONSTRUCTIONWITHMULTIPLANEANDMULTIORIENTATION,COMBINEDWITHAXIALENHANCEDSCAN,CANSHOWLESIONSDIMENSIONLYANDINCREASETHEDIGNOSTICACCURACYINEARLYPRIMARYURETERALCARCINOMA,WHICHHASANIMPORTANTVALUE1KEYWORDSURETERALNEOPLASMS;TOMOGRAPHY,SPIRALCOMPUTED;IMAGING,THREEDIMENSIONALŸ{U5MN,œUD2155,5ZM3Ÿ,{U5/KN,VCEŸU,HF˜VM›1BCTVC,|{U5S“SMŒZ˜2˜8V/5C˜;˜8“V˜B€,CT„’HMS3B|“SKŸ˜{U5,YVS64†„CT˜Ÿ4’ŸB11‹„ZE111BF15,39,O6,M4977,66BEŸU12AE3„UO2BH210MB1SD•CHINESEJOURNALOFMEDICALIMAGINGBDIAGNOSTICRADIOLOGY37€Y/MŒ6MCU7BŒ12›U‚‹_,2ž,MŒHLM›B112NS3˜|64†„CTVCTN,40MM,„01984B††H5›,310ML/S/•4370MGI/ML80ML,032S›A6070S›L,K30MIN€XUB,,/†BHQ120KVA380MA,W5MM,YW01625MMB|SMAW413T_,SE›/A{U5A‡WYCPR,I10€›KVG•EMIPYB21TF15,ŒCTž’13,’E†7‚Ÿ2B211HM†3{U57AP8B2A6A/7B212„CTVCWYCPR8VC5CKŸ‚59,58_ŸNM1,2,4N58ŸFV,—58M3,3VC{U5F•,58HM4,5B913VCA9M6,CT9F2845HU,2VC‚9,CTK9F60HUB10VC,V{U5/A•,4,//VN/•4,E{U5‚A•,1VC,/{U5‚A•BF10€›MIPY,AU”F{U558L–‚5NIB31‚311CTVC1˜5CKŸ‚59,58_ŸŸN,58H,N8FV•,995C/8VVCA94,5,{U5„/”FAB312„CTY‹N„K„CTžYM,PVV4{U5_Q,{U5HMN7Ÿ_ZEB64†„CT8AZAU{U5EFƒ6Bž{U5“,“4†AU,7{U5HEZ58”FA,A8/•4˜/,YVCPRZEVAUœH{U5BN“,CPRVIZ_4AM,V7BAUHM†SA5C9M1,2M1WYM2AU{U5/5CKŸ‚59,58_ŸNBM3AUP{U558ŸFV,—58BM4,5M4WYM5AU{U5/F•,58HBM69AUP{U5VA9SD•CHINESEJOURNALOFMEDICALIMAGINGBDIAGNOSTICRADIOLOGY38589YFƒ7,†CTCT9,’EY„Ÿ2BF1513CPRIRTBNEŒ/{U5HAU,1{U5”FO/•4”BMIPGVBAU{U5„58N,GVIM,V‚Z_Ÿ48™58Nƒ,ZEM†,4,ŒMIP1{U5/•4”,S{U5A•‚KBF10›MIP€2IRTBCVRZE“ZAUF1,Y8“V˜Z4RT,F18V/5C˜,NEB313{U5KY313111{U564†„CTVC1˜5C‚59,58N,8FV,O9A9,U”FABCPRMIPYVZAU{U55C58FƒB31312KY{U51‹XLIJ|ŸFAVAA‚MKYB€CTB,O‚9,V8M7MBZ{U51/3,H”Œ,,HM,5C;œ,A98B{U5„58VŸN,SB,95C,V™,5UOV4U9B{U5‚/‚,HMSG,1K58N,5C‚59,{U5‚”F10B9,64†„CTYY,ZAA8AUHM,†CT9,VV4{U5’Ÿ,15NB•ID1B‚,,,1Ÿ{U515U“S,2008,2331732F,”P,U,1„CTŸ{U5N1SD•,2004,121133F,K,,1Ÿ{U5„CT1BLL,2005,207924SUDAKOFFGS,GURALNICKM,LANGENSTROERP,ETAL1CTUROGRAPHYOFURINARYDIVERSIONSWITHENHANCEDCTDIGITALRADIOGRAPHYPRELIMINARYEXPERIENCE1AJR,2005,18411315EIGHARME,SHOKEIRAA,EIDIASTYTV,ETAL1CONTRASTENHANCEDSPIRALCOMPUTERIZEDTOMOGRAPHYINPATIENTSWITHCHRONICOBSTRUCTIVEUROPATHYANDNORMALSERUMCREATININEASINGLESESSIONFORANATOMICALANDFUNCTIONALASSESSMENT1JUROL,2004,17239856Y3,œ,•,164†„CTU5‹N1S5D•,2008,1996207,Y,,1„CTY/ŒŸ{U5‹1LB,2007,23912808€,U,}1{U5{U5„CT15B,2009,2868349S,S‚,FOY1DSŸ{U5„1D,2007,30321610”,1U‚•1†H,2004,410779责任编辑董建军于晓红€/S2DW€0/S2DW€0HS2EVS2DGŸF†7,DB€,•IN“B12008MŸSž€,€/12M2FR180252M2R983525R248482;R168525LL24M3R218ZL€™,VDB;01051927252;YG100036Q188SQ;I100036BSD•CHINESEJOURNALOFMEDICALIMAGINGBDIAGNOSTICRADIOLOGY

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