Scherrer A, Mellot F, Botto H, Lebret T
Service de Radiologie, Hôpital Foch, Suresnes, France.
J Radiol. 2000 Sep;81(9 Suppl):1039-51.
3% of the population experiences a flank pain during its lifetime. A flank pain is explained by calculus disease in more than 70% of the cases. Since the introduction of spiral CT and lithotripsy the work up of urolithiasis has changed. Many tests and treatment are available: KUB, IVP, ultrasound with color Doppler, CT and MR urography for diagnosis; lithotripsy, stenting or open surgery for treatment. The emergency practitioner, the radiologist and the urologist should answer three questions that will be reviewed in this paper: Is the acute flank pain caused by urolithiasis? Will calculus be spontaneously discharged? Is lithotripsy indicated?
3%的人口在其一生中会经历侧腹疼痛。在超过70%的病例中，侧腹疼痛是由结石病引起的。自从螺旋CT和碎石术问世以来，尿路结石症的检查方法已经发生了变化。有许多检查和治疗方法可供选择：腹部平片、静脉肾盂造影、彩色多普勒超声、CT和磁共振尿路造影用于诊断；碎石术、支架置入术或开放手术用于治疗。急诊医生、放射科医生和泌尿科医生应回答本文将探讨的三个问题：急性侧腹疼痛是由尿路结石症引起的吗？结石会自行排出吗？是否需要进行碎石术？
