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[在新治疗方法时代静脉尿路造影在尿路结石诊断中的作用]

[The role of intravenous urography in the diagnosis of urinary tract lithiasis in the era of new therapeutical methods].

作者信息

Novac C, Pricop C, Negru D, Gheorghiu V, Negru Irina

机构信息

Facultatea de Medicină, Disciplina de Urologie, Universitatea de Medicină şi farmacie Gr.T. Popa Iaşi.

出版信息

Rev Med Chir Soc Med Nat Iasi. 2002 Oct-Dec;106(4):851-5.

PMID:14974244
Abstract

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.

摘要

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。

相似文献

1
[The role of intravenous urography in the diagnosis of urinary tract lithiasis in the era of new therapeutical methods].[在新治疗方法时代静脉尿路造影在尿路结石诊断中的作用]
Rev Med Chir Soc Med Nat Iasi. 2002 Oct-Dec;106(4):851-5.
2
Urolithiasis: detection and management with unenhanced spiral CT--a urologic perspective.尿路结石:非增强螺旋CT的检测与管理——泌尿外科视角
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Prog Urol. 1999 Apr;9(2):233-8.
4
Is intravenous urography a prerequisite for renal shockwave lithotripsy?静脉尿路造影是肾脏冲击波碎石术的先决条件吗?
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Unenhanced helical computed tomography vs intravenous urography in patients with acute flank pain: accuracy and economic impact in a randomized prospective trial.急性腰痛患者中未增强螺旋计算机断层扫描与静脉肾盂造影的比较:一项随机前瞻性试验中的准确性和经济影响
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Is intravenous urography required when ultrasonography and KUB evidence a ureteroscopy plan?当超声检查和腹部平片支持输尿管镜检查计划时,是否需要进行静脉尿路造影?
Urol J. 2012 Fall;9(4):648-51.
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[Imaging of acute urinary obstruction: non-enhanced CT or KUB and US].急性尿路梗阻的影像学检查:非增强CT或腹部平片及超声
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