Application of mutislice spiral CT in children urinary tract injuries

Objective To investigate the application value of three-dimensional reconstruction technique of mutislice spiral CT(MSCT)in children urinary tract injuries.

Methods Forty-three patients with urinary tract injury performed MSCT scan, and three-dimensional reconstruction technique was used for volume rendering, maximum intensity projection and multi-planar reformation, urinary tract imaging was acquired completely. The images were reviewed by two experienced radiologists.

Results Of the 43 cases, there were 5 simple contusion of kidney, 5 contusion and laceration of kidney accompanied with subcapsular haematoma, 4 contusion and laceration of kidney accompanied with perinephric haematoma, 2 contusion and laceration of kidney accompanied with adrenal haematoma, 13 shattered kidney accompanied with extravasation of urine, 3 shattered kidney accompanied with renal pedicle injury, 6 shattered kidney accompanied with ureter injury, 2 pelvic fracture accompanied with posterior urethra split, 3 contusion of urinary bladder wall accompanied with blood clot in the urinary bladder.

Conclusion MSCT has the characteristic of high scanning speed, wide overlay scope, high image quality and thin slice scan. It is an effective modality in the evaluation of children urinary tract injuries.