经腹部超声检查在输尿管结石伴肾周积液诊断中的价值

The value of trails--abdominal sonography in diagnosis ureter＇s lithiasis with perinephric effusion

目的：分析输尿管结石伴肾周积液的超声表现并讨论其病理基础。方法：对12例急性肾绞痛患者超声发现肾周积液患者进行回顾性分析。结果：①输尿管结石合并肾周积液患者其积液程度与结石大小、肾绞痛程度无明显相关性；②肾周积液多分布于惠肾上下极；③经抗炎、对症或输尿管镜等综合治疗，症状缓解或治愈，积液于2～4日后消失。结论：超声检查能及时发现输尿管结石急性梗阻伴肾周积液，对临床诊治具有重要的实际意义。

Objective： To analyse the ulrasonic appearances and pathological base of perinephric effusion with ureter＇s lithiasis. Methods： Reviewed and analyzed the ulrasonic appearances of 12 patients with perinephric effusion. Results： 1, among these patients with ureter＇s lithiasis with perinephric effusion, there is no significant relation between the extent of effusion and lithiasis and renal colic; 2, perinephric effusion almost distrib- utes in upper and lower pole of kindey; 3, the symptom is relieved and cured after the synthesized treatment of Anti--inflammation, heteropathy or ureteroscope, and will disappear after 2--4 days＇ effusion. Conclusion：Ultrasonography could timely discover ureter＇s lithiasis with its acute obstruction and perinephric effusion, and provides important practical significance to clinical diagnosis and cure.