超声对清洁灌肠后输尿管结石的诊断价值  

The Ultrasonic Value of Cleaning Enema to Diagnosis of Ureteral Calculi

作　　者：刘友员[1] 

机构地区：[1]湖南省第二人民医院B超室,长沙410007

出　　处：《中国现代医生》2008年第24期118-119,共2页China Modern Doctor

摘　　要：目的探讨超声对清洁灌肠后输尿管结石的诊断价值。方法患者禁食8h以上,口服20%甘露醇溶液250mL,待肠道排空膀胱适度充盈后即可进行超声检查。结果120例常规超声检查高度怀疑输尿管结石者(因肠气、肠内容物、肥胖等干扰未能显示输尿管结石)分别经X线平片、清洁灌肠后超声检查、静脉肾盂造影等检查确诊。超声对清洁灌肠后输尿管结石的诊断符合率达98.3%。所有患者经手术治疗、体外震波碎石、中西医结合治疗获满意疗效。结论清洁灌肠能显著提高输尿管结石的检出率。Objective To study ultrasound in the diagnosis of ureteral stones after cleansing enema. Methods Fasting patients more than eight hours of oral solution 250mL 20% mannitol,you can conduct ultrasound inspections after intestinal discharge. Results 120 cases of suspected ureteral stones conventional ultrasonography（because of bowel gas,gut contents,it does not interfere with factors such as obesity ureteral stones）are on the clean enelna after ultrasound,X-ray film. Contrast such as intravenous pyelography and retrograde ureteral diagnosed. Ultrasound diagnosis of uretral stones after cleansing enema rate was 98.3%. All patients were treated with surgery and extracorporeal shock wave lithotripsy,the integration of Chinese and western therapy were satisfied. Conclusion Clean enema can significantly increase the detection rate of ureteral stones.

关 键 词：超声 清洁灌肠 输尿管结石 诊断 

分 类 号：R693[医药卫生—泌尿科学]