Novac C, Pricop C, Negru D, Gheorghiu V, Negru Irina
Facultatea de Medicină, Disciplina de Urologie, Universitatea de Medicină şi farmacie Gr.T. Popa Iaşi.
Rev Med Chir Soc Med Nat Iasi. 2002 Oct-Dec;106(4):851-5.
Urinary stones continue to be an interesting and major problem for both urologists and radiologists. The authors try to present the imaging diagnosis possibilities for this pathology according to the expectations of the urologists who have to deal with urinary tract lithiasis with the new methods (extracorporeal shock wave lithotripsy, percutaneous nephrolithotomy, and ureteroscopy). Helical CT has certain advantages and in different centers in Europe appear to be less expensive than intravenous urography (IVU), but unfortunately, is not available in our medical center. So, for us, IVU remains the basic investigation for urinary stones. Echography helps a lot for correct strategy, but together with KUB cannot replace IVU if we want to avoid mistakes.
尿路结石对于泌尿外科医生和放射科医生而言,仍然是一个引人关注的重大问题。作者试图根据泌尿外科医生的期望,介绍针对这种病理情况的成像诊断可能性,这些医生必须采用新方法(体外冲击波碎石术、经皮肾镜取石术和输尿管镜检查)来处理尿路结石。螺旋CT具有一定优势,在欧洲的不同中心,其费用似乎比静脉肾盂造影(IVU)更低,但不幸的是,我们的医疗中心没有这种设备。所以,对我们来说,IVU仍然是尿路结石的基本检查方法。超声检查对制定正确的治疗策略有很大帮助,但如果我们想避免误诊,超声检查与腹部平片(KUB)一起也无法取代IVU。