彩色多普勒超声与二维超声在泌尿系统结石诊断中的效果及检出率分析  

The Analysis of the Effectiveness and Detection Rate of Color Doppler Ultrasound and Two-Dimensional Ultrasound in the Diagnosis of Urinary System Stones

作　　者：刘海波[1] 董月英[1] 欧阳永红 LIU Hai-bo;DONG Yue-ying;OUYANG Yong-hong(Quanzhou Third Hospital,Fujian Province,Fujian Quanzhou 362000)

机构地区：[1]福建省泉州市第三医院,福建泉州362000

出　　处：《中国医疗器械信息》2024年第16期114-116,共3页China Medical Device Information

摘　　要：目的:探究在泌尿系统结石诊断中运用彩色多普勒超声和二维超声的临床效果以及检出率情况。方法:选取2023年1月~2023年12月本院收治的60例疑似泌尿系统结石患者,全部患者均接受彩色多普勒超声检查、二维超声检查,对两种不同检查结果进行分析。结果:彩色多普勒超声检测肾,输尿管上段、中段、下段,肾结石伴随输尿管,膀胱结石检出率分别为40.00%、25.00%、18.33%、21.67%、46.67%、45.00%,显著高于二维超声检查(21.67%、18.33%、13.33%、15.00%、25.00%、26.67%),P<0.05;彩色多普勒超声的敏感性、特异性、有效性更高,敏感性差异对比,P>0.05,特异性与有效性差异对比,P<0.05;在测量泌尿系统结石方面,彩色多普勒超声检查<5mm、5~10mm、>10mm测量值显著高于二维超声检查(P<0.05),且与结石实际大小相接近。结论:在泌尿系统结石诊断中,彩色多普勒超声检查的运用,可获得较高的敏感性、特异性与有效性,能为临床医师提供重要的诊疗依据。Objective:To explore the clinical efficacy and detection rate of color Doppler ultrasound and two-dimensional ultrasound in the diagnosis of urinary system stones.Methods:60 suspected patients with urinary system stones admitted to our hospital were selected,with a time interval of January 2023 to December 2023.All patients underwent color Doppler ultrasound examination and two-dimensional ultrasound examination,and the results of the two different examinations were analyzed.Results:The detection rates of kidney,upper,middle,and lower ureters,kidney stones accompanied by ureters,and bladder stones detected by color Doppler ultrasound were 40.00%,25.00%,18.33%,21.67%,46.67%,and 45.00%,respectively,significantly higher than those detected by two-dimensional ultrasound(21.67%,18.33%,13.33%,15.00%,25.00%,and 26.67%),P<0.05;Color Doppler ultrasound has higher sensitivity,specificity and effectiveness,with sensitivity differences P>0.05 and specificity and effectiveness differences P<0.05;In terms of measuring urinary system stones,the measurement values of<5mm,5-10mm,and>10mm on color Doppler ultrasound were significantly higher than those on two-dimensional ultrasound(P<0.05),and were close to the actual size of the stones.Conclusion:The use of color Doppler ultrasound in the diagnosis of urinary system stones can achieve high sensitivity,specificity,and effectiveness,providing important diagnostic and therapeutic basis for clinical physicians.

关 键 词：彩色多普勒超声 二维超声 泌尿系统结石 诊断效果 检出率 

分 类 号：R445.1[医药卫生—影像医学与核医学]