超声诊断输尿管结石210例分析

Analysis of 210 cases of ureteral calculus diagnosised by ultrasound

目的:探讨输尿管结石的超声诊断与鉴别诊断方法。方法:对210例输尿管结石患者的临床资料、超声诊断结果进行回顾性分析。结果:210例患者均经X线、体外碎石、服药排石、肾盂造影、手术等证实,超声确诊204例(97.1%),漏诊6例(2.9%)。运用彩色多普勒超声观察输尿管结石38例,出现彩色多普勒快闪伪像31例(81.6%)。结论:超声显像具有简便易行、无创伤、直观、可重复及不受肾功能限制的特点,可作为社区卫生服务中心诊断输尿管结石的首选方法,有重要的临床应用价值。

Objective： To study the methods of ultrasound diagnosis of ureteral calculus and its differential diagnosis. Method： The clinical data and ultrasound results of 210 cases of ureteral calculus were retrospectively analyzed. Result： Two hundred and ten patients were confirmed by X-ray pyelography, lithotripsy, taking the row of stone, and surgery. The ultrasound diagnosis confirmed 204 （97.1%）, and missed 6 cases （2.9%）. 38 cases of ureteral calculus were used with color Doppler ultrasound for observation and color Doppler ultrasound flash artifacts occurred 31 （81.6%）. Conclusion： Ultrasound imaging has a simple, non-invasive, visual, reusable and renal function limits features and can be used as a primary diagnostic choice for community health service centres to diagnose ureteral calculus.