急诊输尿管结石超声诊断方法的探讨

Emergency medical treatment ureterolithiasis ultrasound diagnosis method discussion

目的：探讨应用彩色多普勒超声提高急症输尿管结石的诊断水平，并评价其诊断价值。方法：对156例以腰部放射性剧痛的急症患者行彩色多普勒超声检查，利用彩色多普勒显像协助观察输尿管走行；在可疑结石强回声后方寻找“彩色快闪伪像”以确定结石的存在；通过观察输尿管末端喷尿多普勒信号变化判断其有无梗阻，扫查重点在三个生理狭窄处。结果：156例经临床证实的输尿管结石中，右侧96例，左侧54例，双侧6例；上段52例，中段20例，下段96例；合并肾积水124例。结论：彩色多普勒超声能有效地诊断急症输尿管结石，为临床诊疗提供可靠依据。

Objective：Discusses application colored Doppler supersonic to raise the acute disease ureterolithiasis＇s diagnosis level, and appraises its diagnosis value. Methods：To 156 examples by the waist radioactive severe pain＇s acute disease patient line of col- ored Doppler supersonic inspection, the use colored Doppler developing assists to observe the ureter to walk the line; Seeks behind the suspicious stone strong echo ＂colored dodges the spurious image by to determine the stone quickly＂ the existence; Spurts the u- rine Doppler signal change whether there is through the observation ureter terminal to judge it to obstruct, sweeps looks up key in three physiologies narrow place. Results： 156 examples after in clinical confirmation ureterolithiasis, right flank 96 examples, left side 54 examples, two--sided 6 examples; Upside 52 examples, center--section 20 exampies, lower segment 96 examples; Merge kidney water 124 examples. Conclusion：The colored Doppler supersonic energy diagnoses the acute disease ureterolithiasis effective- ly, provides the reliable basis for clinical diagnosing and treating.