B超诊断输尿管结石的体会和临床价值

Experience and clinical value of B ultrasound in the diagnosis of ureteral calculi

目的探讨各段输尿管结石的超声检测方法 ,以提高该病的检出率,同时讨论分析超声诊断输尿管结石在腹痛患者原因分析中的临床价值。方法选取2011年5月~2016年5月我院门诊、住院30例腹痛患者作为研究对象,30例患者均行B超泌尿系检查。结果 30例患者最后经静脉肾盂造影及手术取石证实为输尿管结石,B超诊断符合26例,符合率约86.7%。结论超声检查输尿管结石具有快速、准确、方便、经济、无创、可重复性的特点,并且不受肾功能情况、结石成分及过敏的限制,可显著提高输尿管结石的诊断率,值得临床推广和应用。

Objective To discuss the uhrasonography of ureteral calculi in each section to improve the detection rate of the disease, and to analyze the clinical value of uhrasonography in the diagnosis of the cause of ureteral calculi in pa- tients with abdominal pain. Methods 30 patients with abdominal pain admitted in the outpatient and hospital from May 2011 to May 2016 were enrolled in this study. All 30 patients underwent B uhrasonography. Results 30 patients were finally diagnosed as ureteral calculi by intravenous pyelography and surgical lithotripsy, and there were 26 cases of diagnosticcompliance by B ultrasonography, with the coincidence rate of about 86.7%. Conclusion Ultrasonography has fast, accurate, convenient, economical, noninvasive, repeatable features and is not limited by renal function, stone composition and allergy, which can significantly improve the diagnosis rate of ureteral calculi and is worthy of clinical promotion and application.