静脉尿路延时造影对体外震波碎石术前的指导价值(附200例分析)

Guided Value of Delayed Intravenous Urography before Extracorpreal Shock Wave Lithotripsy (Analysis of 200 Cases)

目的：探讨静脉尿路延时造影对体外震波碎石术前的指导价值。材料与方法：临床诊断肾或输尿管结石200例，男性114例，女性86例，年龄18～69岁。延长造影时间45～60min13例，60～90min69例，90～120min109例，120～180min6例，180～240min3例。结果：静脉尿路延时造影200例中，发现结石伴随症51例，占25．5％，其中输尿管术后狭窄26例，输尿管先天性畸形15例，输尿管囊肿5例，腔静脉后输尿管3例，输尿管瓣膜2例。根据延时造影检查结果，临床取消体外碎石术41例，占20．5％，修改造影检查前拟定治疗计划48例，占24％。结论：静脉尿路延时造影对临床拟定肾或输尿管结石的治疗计划有指导价值。

Purpose: To dicussed guided value of delayed IVU before ESWL. Materials and Methods: 200 cases renal calculi or ureteral calculi were diagnosed by clinic. male 114 and female 86. aged from 18 to 69 years. Delayed time of urogram from 45' to 60 minutes 13 cases, from 60 to 90 minutes 69 casesl from 90 to 120 minutes 109 cases, from 120 to 180 minutes 6 cases, from 180 to 240 minutes 3 cases. Results8: Among 200 cases delayed IVU. 51 Cases renal calauli or ureteralcalculi accompanyed with ureteropathy were diagnosed. Among they, 26 cases with ureterostenosis after opteration. 15 with ureteroal congenital anomalies. 5 with ureteroceles. 3 with retrocaval ureter. 2 with valvulosis of ureter. After delayed IVU. 48 cases with treated plan of renal calculi or ureteral calculi were changed. 41 Cases with renal calculi or ureteral calculi were abandoned ESWL. Conclusion: Delayed IVU guided value in renal calculi or ureteral calculi that were dicided plan of treatment by clinic.