超声检查在肾结石诊断中的应用回顾

An applicative review of ultrasonography diagnosis in renal calculus

临床上肾结石是引起腰痛的病因之一,超声检查是首选影像技术。一些疾病的声像图表现可误诊为肾结石;而结石的大小、部位、积水等原因也直接影响诊断正确率。识别肾内类似结石的其它结构,并充分认识到影响诊断的因素,可提升诊断的准确率,避免因假阳性干扰临床医师的救治,并可适时的选择其他影像技术协助诊断。本文重点介绍可误诊为肾结石的疾病的声像图特征,并讨论影响肾结石诊断准确率的几个因素。

Renal calculus is one of the cause of lumbar pain, and ultrasonography is the preferential methods in diagnosis of Renal calculus. The sonogram of some diseases may be misdiagnose as renal calculus. The diagnostic coincidence were affected by the size, position of renal calculus and hydrops. Recognizing other structures like renal calculus and factors affecting diagnosis can improve diagnostic coincidence rate and avoid the false positive that interfere with the diagnosis and treatment of clinician. Other image technique can be used to assisting diagnosis. In this review the sonogram features of other diseases that can be misdingnosed as renal calculus were , analyzed , and some factors affecting diagnostic rate of renal calculus were discussed in detail.