超声成像在妊娠期泌尿系急腹症的临床应用评价  

Evaluation of clinical application of ultrasound in urinary emergency in pregnancy

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作  者:罗玉琴[1] 曾蓉[1] 李俊 梁久平[2] 程起[3] Luo Yuqin;Zeng Rong;Li Jun;Liang Jiuping;Chen Qi(Department of Urology,the People′s Hospital of BaoAn,Shenzhen 518101,China)

机构地区:[1]深圳市宝安区人民医院泌尿外科,510101 [2]深圳市宝安区人民医院放射科,510101 [3]深圳市宝安区人民医院超声科,510101

出  处:《实用医学影像杂志》2022年第2期118-120,共3页Journal of Practical Medical Imaging

基  金:深圳市宝安区科技计划项目(2013012)。

摘  要:目的评价超声成像在妊娠期泌尿系急腹症诊疗中的临床应用价值。方法收集2015年1月至2020年10月住院治疗且均行超声检查的妊娠期泌尿系急腹症患者的超声、临床及磁共振成像(MRI)资料,对比分析超声所见与MRI表现、临床治疗情况,分析超声成像在妊娠期泌尿系急腹症诊疗中的临床意义。结果①超声表现:2例表现为双肾及双侧输尿管轻度扩张积液;3例表现为单纯肾结石(1例为单侧,2例为双侧);15例表现为单侧肾脏及输尿管扩张积液(其中2例输尿管上段结石、1例输尿管中段结石、1例输尿管下段结石,1例双肾结石、5例单侧肾结石,1例肾内性质待定的异常回声团)。②1例抗感染、解痉止痛并激光碎石后临床症状明显改善;5例经抗感染、解痉并D-J管植入(其中2例采用激光碎石)后症状明显改善;14例经单纯抗感染、解痉止痛治疗后症状明显改善。结论超声成像在妊娠期泌尿系结石及积水的观察较好,但对泌尿系感染及病情评估价值有限。Objective To evaluate the clinical application value of ultrasound imaging in the diagnosis and treatment of urinary emergency during pregnancy.Methods The ultrasound,clinical and MRI data of pregnant patients with urinary emergency during pregnancy who were hospitalized from January 2015 to October 2020,all underwent urological ultrasound examination were collected,and the ultrasound findings and MRI manifestations and clinical treatment were compared and analyzed.Analyze the clinical significance of ultrasound imaging in the diagnosis and treatment of urinary emergency during pregnancy.Results①Ultrasound findings:2 cases showed mild dilated effusion of both kidneys and bilateral ureters;3 cases showed simple kidney stones(1 case was unilateral,2 cases were bilateral);15 cases were unilateral Kidney and ureteral dilatation fluid(upper ureteral stones 2 cases,middle ureteral stones 1 case,lower ureteral stones 1 case,bilateral kidney stones1 case,unilateral kidney stones 5 cases,abnormal echogenic lumps of undetermined intrarenal nature 1 case).②The clinical symptoms of 1 case were significantly improved after anti-infection,antispasmodic and pain relief combined with laser lithotripsy;5 cases had obvious clinical symptoms after clinical anti-infection,antispasmodic and analgesic combined with D-J tube implantation(2 cases used laser lithotripsy)Improvement;the clinical symptoms of 14 patients were significantly improved after the treatment of simple anti-infection,antispasmodic and analgesic treatment.Conclusion Ultrasound has important clinical value in the observation of urinary calculi and hydrops during pregnancy,but it is of limited value in the evaluation of urinary tract infection and disease.

关 键 词:妊娠期 泌尿系统 急腹症 超声成像 

分 类 号:R445.1[医药卫生—影像医学与核医学] R714.258[医药卫生—诊断学]

 

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