Utility of trans-vaginal ultrasound in diagnosis and follow-up of non-pregnant sexually active females with lower ureteric calculi  

作　　者：Siddharth Pandey Tanica Pandey Apul Goel Ajay Aggarwal Deepanshu Sharma Tushar Pandey Satya sankhwar Gaurav Garg 

机构地区：[1]Department of Urology,King George’s Medical University,Lucknow,India [2]Department of Radiology,Raghav Pathlabs and Imaging,Haldwani,India [3]Department of Pathology,Post Graduate Institute of Medical Education and Research,Chandigarh,India

出　　处：《Asian Journal of Urology》2020年第1期45-50,共6页亚洲泌尿外科杂志（英文）

摘　　要：objective:To assess the utility of trans-vaginal ultrasonography in evaluation of non-pregnant sexually active female patients with lower ureteric calculi.Methods:A prospective study was done from January 2015 to December 2017 including non-pregnant sexually active females with suspected ureteric calculus.Trans-abdominal ultrasound was initially done in all patients.In those patients in whom trans-abdominal ultrasound was inconclusive or there was indirect evidence of lower ureteric calculus in form of ureteral dila-tion but no calculus was evident,trans-vaginal ultrasound was done.The patients with ureteric calculi detected on trans-vaginal ultrasound and kept on conservative management were also followed up with trans-vaginal ultrasound.Non-contrast computed tomography was done in patients with inconclusive trans-vaginal ultrasound.Results:As per the study protocol,156 out of the total 468 patients evaluated by trans-abdominal ultrasound were eligible for trans-vaginal ultrasound.Trans-vaginal ultrasound was done in 149 patients,as seven patients did not give consent.Seventy-nine patients were detected with a lower ureteric calculus on trans-vaginal ultrasound and 27 patients had gyne-cologic or other cause for their symptoms.Forty-three patients had an inconclusive trans-vaginal ultrasound of which 36 underwent non-contrast computed tomography,among them only one patient had a lower ureteric calculus.Stone free status could be easily demonstrated on follow-up trans-vaginal ultrasound.

关 键 词：Trans-abdominal ultrasound Trans-vaginal ultrasound Lower ureteric calculus Ureteric colic URETER 

分 类 号：R693.4[医药卫生—泌尿科学]