318例输尿管结石超声诊断体会

318 Cases of Ureteral Calculi Ultrasound Diagnosis Experience

目的:评价彩色多普勒超声对输尿管结石的诊断价值。方法:选取在我院进行诊治的输尿管结石患者318例,其中男198例,女120例,年龄17～69岁,采用GEVivid7彩色多普勒超声诊断仪对其进行诊断。结果:接318例患者均经服药、碎石或手术后证实为结石。接受超声检查患者中306例证实为输尿管结石,漏诊12例。超声表现为主要表现为积水的输尿管无回声带远段出现强回声光团,伴有后方声影,部分结石彩色血流图可见"慧尾征"强光团呈弧形细狭光带或粗厚光带,结石大小为0.3～1.8cm。结论:彩色多普勒超声检查快捷方便,是目前输尿管结石的首选方法。

Objective：To evaluate the color doppler ultrasonography in the diagnosis value of ureteral calculi.Methods：In our hospital for the treatment of ureteral stones in 318 cases,of which 198 cases were male,female 120 cases,aged 17～69 years old,the GE Vivid7 color doppler ultrasound diagnostic instrument to the diagnosis.Results：the 318 cases are all the medication,gravel or surgery for stone confirmed.Accept ultrasound in patients 306 example actually ureter stone,misdiagnosis in 12 cases.Ultrasound performance as the main performance of the ureter water for no echo with strong echo light appeared at the far end,accompanied by the rear of sound,part of the stone color doppler figure visible ＂hui tail levy＂ strong light group with arc light band or avoid looking frumpy fine narrow light band,stone size of 0.3～1.8 cm.Conclusion：color doppler ultrasound examination of the quick and convenient,and is now the preferred method of ureteral calculi.