Ongun Sakir, Teken Abdurrazak, Yılmaz Orkun, Süleyman Sakir
Department of Urology, SB Istanbul Bahcelievler State Hospital, Istanbul, Turkey.
Department of Radiology, SB Sanliurfa Siverek State Hospital, Turkey.
Urology. 2017 Jun;104:36-39. doi: 10.1016/j.urology.2017.02.031. Epub 2017 Feb 28.
To contribute to the diagnosis and treatment of ureteral stones by investigating the relationship between the ureteral jet flow measurements of patients with ureteral stones and the size of the stones and the patients' pain scores.
The sample consisted of patients who presented acute renal colic between December 2014 and 2015 and from a noncontrast computed tomography were found to have a urinary stone. The ureteral jet flow velocities were determined using Doppler ultrasonography. The patients were all assessed in terms of stone size, localization and area, anteroposterior pelvis (AP) diameter, and visual analogue scale (VAS) scores.
A total of 102 patients were included in the study. As the VAS score decreased, the peak jet flow velocity on the stone side increased, whereas the flow velocity on the other side, AP diameter, and stone area were reduced (P < .05). As the stone size increased, the peak jet flow velocity was reduced and the AP diameter increased significantly (P < .05). Ureteral jet flow was not observed in 17 patients on the stone side. A statistically significant difference was found between these patients and the remaining patients in terms of all parameters (P < .05).
For patients, in whom the peak flow velocity of ureteral jet is low and with a severe level of pain or the peak flow velocity of ureteral jet cannot be measured, there is a low possibility of spontaneous passage and a high possibility of a large stone, and therefore the treatment should be started immediately.
通过研究输尿管结石患者的输尿管喷射流测量值与结石大小及患者疼痛评分之间的关系，为输尿管结石的诊断和治疗提供帮助。
样本包括2014年12月至2015年期间出现急性肾绞痛且经非增强计算机断层扫描发现有尿路结石的患者。使用多普勒超声测定输尿管喷射流速度。对所有患者进行结石大小、位置和面积、骨盆前后径（AP）以及视觉模拟量表（VAS）评分的评估。
本研究共纳入102例患者。随着VAS评分降低，结石侧的喷射流峰值流速增加，而另一侧的流速、AP直径和结石面积减小（P < 0.05）。随着结石大小增加，喷射流峰值流速降低，AP直径显著增加（P < 0.05）。17例患者的结石侧未观察到输尿管喷射流。这些患者与其余患者在所有参数方面均存在统计学显著差异（P < 0.05）。
对于输尿管喷射流峰值流速低且疼痛程度严重或无法测量输尿管喷射流峰值流速的患者，结石自然排出的可能性低，结石较大的可能性高，因此应立即开始治疗。
