输尿管结石的超声诊断与X线检查的对比分析  

Comparison of the Clinical Value of Ultrasonography and Radiography in the Diagnosis of Ureterolithiasis

作　　者：陈九军[1] 刘玉[1] 王敏[1] 冯喜昌[1] 陈琛[1] 

机构地区：[1]南阳市中心医院超声科,河南473009

出　　处：《放射学实践》2007年第1期58-60,共3页Radiologic Practice

摘　　要：目的：探讨超声诊断对输尿管结石的临床应用价值，并与X线检查对比。方法：回顾本院2004年10月～2005年10月输尿管结石120例，其中单侧输尿管结石196例，双侧输尿管结石4例。全部病例中2例经手术证实，11例经输尿管镜证实，107例经体外排石证实。全部病例均行超声检查，并与腹部X线平片（KUB）、静脉肾盂造影（IVP）结果相比。结果：超声诊断输尿管结石的符合率较高（92．7％），明显高于KUB、IVP检查（62．0％）；同时，超声可以为临床提供更多泌尿系的直接表现及伴发信息。结论：输尿管结石的首诊方法为超声。Objective： To study the diagnostic value of ultrasonography and radiography for ureterolithyiasis. Methods：From 2004.10 to 2005.10,120 patients with ureterolithiasis were examined by ultrasonography and radiography. There were unilateral ureterolith in 196 patients and bilateral ureterolith in 4 patients. Two patients were proved by surgery, 11 patients were proved by ureterorenoscopy,in 107 patients the ureterolith was expelled. The uhrasonographic diagnosis was compared with that of radiography including abdominal plain film （KUB） and intravenous pyelography （IVP）. Results： 92.70% of the ureteroliths were detected by ultrasonography, the accuracy of detectability was higher than that of KUB and IVP （62 %）. Furthermore, ultrasonography provided more direct information of the urinary system and their associated abnormalities which could not be revealed by radiography. Conclusion： Ultrasonography is the method of first choice of imaging investigation for ureterolithiasis.

关 键 词：输尿管结石 超声捡查 体层摄影术 X线计算机 

分 类 号：R693.4[医药卫生—泌尿科学] R814.3[医药卫生—外科学]