输尿管结石的超声诊断：其对后续排泄性尿路造影的作用。

Ultrasound diagnosis of ureteral stones: its usefulness with subsequent excretory urography.

作者信息

Saita H, Matsukawa M, Fukushima H, Ohyama C, Nagata Y

机构信息

Department of Urology, Nakagami Hospital, Okinawa, Japan.

出版信息

J Urol. 1988 Jul;140(1):28-31. doi: 10.1016/s0022-5347(17)41476-5.

DOI:10.1016/s0022-5347(17)41476-5

PMID:3288773

Abstract

The diagnostic accuracy of ultrasound scanning and excretory urography was compared in 157 patients with ureteral stones. Over-all, the diagnostic accuracy rates were 78.3 per cent for ultrasound scanning and 81.5 per cent for excretory urography. These rates were 83.2 and 85.0 per cent, respectively, in 107 cases of upper ureteral calculi, and 68.0 and 74.0 per cent, respectively, in 50 cases of lower ureteral stones. When the studies were combined the diagnostic accuracy rates increased to 98.1, 94.0 and 96.8 per cent for upper, lower and all stones, respectively. Ultrasound scanning is useful in the diagnosis of ureteral stones, especially in patients with ureteral colic. However, ultrasound combined with subsequent excretory urography is the most reliable method for the diagnosis of ureteral calculi. Bladder filling is a useful diagnostic aid for ultrasound scanning of lower ureteral calculi.

摘要

对157例输尿管结石患者的超声扫描和排泄性尿路造影的诊断准确性进行了比较。总体而言，超声扫描的诊断准确率为78.3%，排泄性尿路造影的诊断准确率为81.5%。在107例上段输尿管结石病例中，这两个比率分别为83.2%和85.0%；在50例下段输尿管结石病例中，分别为68.0%和74.0%。当两项检查结合使用时，上段、下段和所有结石的诊断准确率分别提高到98.1%、94.0%和96.8%。超声扫描在输尿管结石的诊断中很有用，尤其是对患有输尿管绞痛的患者。然而，超声检查结合随后的排泄性尿路造影是诊断输尿管结石最可靠的方法。膀胱充盈对下段输尿管结石的超声扫描是一种有用的诊断辅助手段。