经腔道超声在急诊时诊断输尿管中下段结石的价值  

Value of Intra-cavitary Ultrasound Diagnosis of Lithiasis in Ureteral Middle and Lower Parts in Emergency Situations

作　　者：许旭东 杨守和 赵怀泽 徐晓飞 张桂瑜 郭锋 

机构地区：[1]诸暨市人民医院,浙江省311800

出　　处：《中国超声诊断杂志》2004年第3期187-190,共4页Chinese Journal of Ultrasound Diagnosis

摘　　要：目的　探讨经腔道超声 (经直肠或经阴道超声 )对急诊时输尿管中下段 (盆部及壁内部 )结石的诊断价值。方法　输尿管中下段结石的急腹症患者 ,行经腹与经腔道超声检查 ,最后作分析比较。结果　 1 1 2例输尿管中下段结石 ,均经超声、 X线平片、静脉肾盂造影及逆行输尿管造影等检查确诊。超声显示率 94 .6 % (1 0 6 /1 1 2 ) ,其中经腹超声显示率 34.8% (39/ 1 1 2 ) ,经腔道超声显示率 90 .2 % (1 0 1 / 1 1 2 ) ,两者共同显示 34例 ,显示率有显著差异 (P<0 .0 0 5 )。结论　经腔道超声比经腹超声对诊断急诊时输尿管中下段结石更有价值 ,是对经腹超声的重要补充 。Objective To probe the value of intra cavitary ultrasound(ICS)including transretal and transvaginal ultrasound(TRS,TVS)diagnosis of lithiasis in ureteral middle and lower parts(pelvic and intra wall portions)in emergency situasions.Methods The patients with lithes in ureteral middle and lower parts in emergency situations underwent transabdominal ultrasound(TAS)and ICS and the results were analysed.Results One hundred and twelve patients with lithes in ureteral middle and lower parts were diagnosed and confirmed by ultrasound,X ray plain films,intravenous nephropyelography and retrograde urography.The demonstration rate of ultrasound was 94 6%(106/112).Of the total,in 112 patients the demonstration rate of TAS was 34 8%(39/112)while that of ICS was 90 2%(101/112).Thirty Four patients had positive demonstration both in ICS and TAS.The demonstration rate of ICS had statistically significant difference from that of TAS( P <0 005). Conclusions ICS,which is more valuable for diagnosing lithiasis in the ureteral middle and lower parts in emergency situations than that of TAS,is an important adjuvent to TAS and may be used as a routine examination.

关 键 词：经腔道超声 急诊 影像学诊断 输尿管结石 输尿管造影 急腹症 

分 类 号：R693.4[医药卫生—泌尿科学] R445.1[医药卫生—外科学]