150例输尿管结石的超声诊断体会

Value of Ultrasound in the Diagnosis of Ureteral Calculi

目的:探讨常规超声在诊断输尿管结石中的价值。方法:使用PHILIPSHD-11彩色多普勒超声诊断仪,在3～5MHz频率下,经腹探查双肾大小、形态、回声,肾盂及输尿管的扩张程度、结石具体位置。结果:150例患者经超声诊断后通过药物治疗或体外碎石证实存在结石。其中89例发生于生理狭窄处,61例发生于非生理狭窄处,其中120例同时合并肾结石,136例合并有不同程度肾盂积水。结论:超声检查输尿管结石简单、无创、直观性强,为临床诊断输尿管结石的首选方法,具有重要的临床诊断价值。

Objective：To study the value of the diagnosis of ureteral calculi by ultrasound.Method：Using philips HD-11 color doppler ultrasonic（3-5MHz） diasonograph measure size of kidney,observe the shape,echo of kidney and the expansion scope of nephric ducts and its accurate location etc.Result：150 patients with ureteral calculi diagnosed by ultrasound was finally confirmed by drugs or ESWL（Extracorporeal shock wave lithotripsy）.Result：89 cases ureteral calculi occur in physiological narrow place,61 cases occur in non physiological narrow place.120 cases with kidney stones,136 cases with hydronephrosis at different levels.Conclusion：Ultrasound examination in the diagnosis of ureteral calculi is simple,visual and no pain and side effects.It has been the preferred method for clinical diagnosis in ureteral calculi and with the important clinical value.