急性肾绞痛患者B超联合腹部DR与平扫CT诊断尿路结石的比较研究

Comparison between Ultrasonography Combined with Plain Abdominal Radiography and Unenhanced Computed Tomography in the Diagnosis of Urinary Calculi with Renal Colic

目的:比较B超联合腹部DR与CT平扫两种检测方法,从而得出一种更为优越的用于诊断尿路结石的方法。方法:选取2014年11月-2015年8月笔者所在医院收治的60例因急性肾绞痛入院的患者为研究对象。对60例患者进行B超联合腹部DR和CT平扫检查,对比两种检查方法的确诊率与检查速度。结果:经过3个月的观察,60例患者中50例确诊尿路结石,B超联合腹部DR检查可确诊36例,确诊率为72.0%(36/50),CT平扫检查可确诊46例,确诊率为92.0%(46/50),两组比较差异有统计学意义(P<0.05)。采用CT平扫检查,60例患者中有58例检测速度可以达到快或很快的标准,采用B超联合腹部DR检查,有38例可以达到快或很快的标准,两组检测速度比较,差异有统计学意义(P<0.05)。结论:把两种方法的诊断效果加以对比,可以得出,平扫CT诊断急性肾绞痛患者尿路结石的确诊率明显高于联合方法,且检测速度更快,在临床更为推荐。

Objective：To compare the ways of ultrasonography combine with plain abdominal radiography and unenhanced computed tomography,so as to get a more favorable method for diagnosis of urinary stones.Method：60 patients with acute renal colic in our hospital from November 2014 to August 2015 were selected,who were examined by ultrasonography combine with plain abdominal radiography and unenhanced computed tomography,the confirmed diagnosis rate and testing speed of the patients in the process were recorded and compared.Result：After 3 months of observation,50 cases in the 60 were diagnosed of urinary stones.The positive rate of ultrasonography combined with plain abdominal radiography examination can be diagnosed in 36 cases,the diagnosis rate was 72.0%（36/50）,unenhanced computed tomography can be diagnosed in 46 cases,the diagnosis rate was 92.0%（46/50）, the difference was statistically significant（P〈0.05）.Conclusion：Comparing the diagnostic results of the two methods,it can be concluded that the diagnosis rate of CT in patients with acute renal colic is significantly higher than the combined method,and the detection rate is faster,and it is recommended in clinical practice.