X线与超声检查诊断尿结石的临床效果对比分析

The Analysis of the Compare Between X-ray and Ultrasound of the Diagnose to Clinical Urinary Calculi

目的对比分析X线与超声检查诊断尿结石的临床效果。方法回顾分析我院自2010年1月至2011年1月的尿结石患者140例,男105例,女35例,将其分为2组,实验组患者70例,进行X线检查。对照组患者70例,进行超声诊断检查。所有患者经手术取石、综合疗法等手段,经术后排石确诊后对比分析X线与超声检查诊断尿结石的临床效果。结果实验组诊断符合67例,诊断符合率为95.7%,其中输尿管上段结石23例,中段结石符合19例,下段结石符合22例;漏诊3例,为输尿管中下段结石。X线平片诊断符合65例,诊断符合率为92.9%,主要为尿酸结石或部分草酸钙结石,不能确诊5例。结论超声作为一种廉价、无创、高效的诊断尿结石的手段应在临床广泛应用推广,其诊断率与X线相当。

Objective To give The analysis of the compare between X-ray and ultrasound of the diagnose to clinical urinary calculi.Methods Retrospective analysis 140 patients in which 105 males and 35 females of urinary calculi, which were taken in hospital during from JUA,2010 to JUA,2012, were randomly divided into 2 groups. 70 cases in experiment group got the check of X-ray, and 70 cases in controlled group got the ultrasound of the diagnose. Then all the patients taken the reasonable surgery to take out the calculi and compared the clinical curative effect of each group. Results The rate of diagnose of experiment group was 95.7 %（ 67 cases was accord to the results）： 23 cases were up-ureter calculi, 19 cases were mid-ureter calculi and 22 cases were down-ureter calculi, besides 3 cases were misdiagnosed which were submet-ureter calculi. The rate of diagnose of controlled group was 92.9 %（ 65 cases was accord to the results） and major of the cases were urate calculi or calcium oxalate calculi in some patients, besides 5 cases were out of diagnose. Conclusion Ultrasound should be carried out into application widely and generalization as a useful diagnose method of cheap, non-invasive and effective. The rate of diagnose is as high as X-ray.