Lin Wu-Chou, Chen Yung-Hsiang, Xu Jian-Ming, Chen Der-Cherng, Chen Wen-Chi, Lee Chao-Te
Graduate Institute of Integrated Medicine, School of Chinese Medicine and Graduate Institute of Clinical Medical Science, China Medical University, Taichung 40402, Taiwan ; Departments of Urology, Obstetrics and Gynecology, Neurosurgery, and Medical Research, China Medical University Hospital, Taichung 40402, Taiwan.
Graduate Institute of Geriatric Medicine, Anhui Medical University, Hefei 230000, China.
Case Rep Nephrol. 2011;2011:413532. doi: 10.1155/2011/413532. Epub 2011 Jul 28.
Renal colic is a common condition seen in the emergency department (ED). Our recent study showed that measures of electrical conductance may be used as supplementary diagnostic methods for patients with acute renal colic. Here, we describe the case of a 30-year-old male subject with a left ureteral calculus who presented with frequency and normal-looking urine. He had already visited the outpatient department, but in vain. Normal urinalysis and nonobstructive urogram were reported at that time. Two days later, he was admitted to the ED because of abdominal pain in the left lower quadrant. The urinalysis did not detect red blood cells. Ultrasonography did not indicate hydronephrosis. The meridian electrical conductance and index of sympathovagal balance were found to be abnormal. High level of electrical conductance on the left bladder meridian was found. An unenhanced helical computed tomography was scheduled to reveal a left ureterovesical stone. Ureteroscopic intervention was later uneventfully performed, and the patient's pain was relieved. The follow-up measurements showed that the meridian parameters had returned to normal one month after treatment. This case suggests that bladder meridian electrical conductance might be used as a supplemental method for ureteral calculus diagnosis.
肾绞痛是急诊科常见的病症。我们最近的研究表明,电导测量可作为急性肾绞痛患者的辅助诊断方法。在此,我们描述一例30岁男性左侧输尿管结石患者的病例,该患者表现为尿频且尿液外观正常。他之前已前往门诊就诊,但未得到有效治疗。当时尿常规和无梗阻性尿路造影检查结果均正常。两天后,他因左下腹疼痛被收入急诊科。尿常规未检测到红细胞。超声检查未显示肾积水。发现经络电导和交感迷走神经平衡指数异常。发现左侧膀胱经电导水平较高。随后安排了非增强螺旋计算机断层扫描,结果显示左侧输尿管膀胱结石。后来顺利进行了输尿管镜干预,患者疼痛缓解。随访测量结果显示,治疗后一个月经络参数恢复正常。该病例表明,膀胱经电导可能作为输尿管结石诊断的一种补充方法。