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使用计算机断层扫描评估血尿作为肾结石疾病的一个迹象:综述

Hematuria as a Sign of Kidney Stone Disease Evaluated Using Computed Tomography: A Review.

作者信息

Nagendra Vadlamudi, Dhande Rajasbala, Mishra Gaurav, Reddy Nidhi G, Gowda Harshith

机构信息

Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2023 Apr 24;15(4):e38064. doi: 10.7759/cureus.38064. eCollection 2023 Apr.

Abstract

Kidney stone is a common cause of acute pain in the abdomen in patients presenting to casualty. Being present in roughly 12% of the world's population makes it the most prevalent pathology of the urinary system. The ureters, kidneys, and bladder frequently develop calculi, resulting in hematuria. The most effective imaging technique for evaluating calculi is unenhanced helical computed tomography. The population, intervention, control, and outcomes (PICO)-formatted question was used to generate methodological medical subject heading (MeSH) phrases, which increased the search strategy's sensitivity in finding research. Some of these names ("hematuria") included "renal calculi" (MeSH) and "cone-beam computed tomography" (MeSH). Studies that satisfied these requirements were subjected to critical evaluation. The merits of the listed studies were evaluated using a unique quality assessment scale. The most accurate imaging diagnostic test for people with hematuria is multidetector computed tomography. If a patient over 40 presents with microscopic hematuria, a non-contrast computed tomography or ultrasound study should be performed, and if gross hematuria is observed, cystoscopy should be added. Pre- and post-contrast computed tomography scans and cystoscopy should be carried out on elderly patients.

摘要

肾结石是急诊患者急性腹痛的常见原因。全球约12%的人口患有肾结石,使其成为泌尿系统最常见的病症。输尿管、肾脏和膀胱经常形成结石,导致血尿。评估结石最有效的成像技术是平扫螺旋计算机断层扫描。采用人群、干预措施、对照和结局(PICO)格式的问题来生成方法学医学主题词(MeSH)短语,这提高了搜索策略在查找研究时的敏感性。其中一些术语(如“血尿”)包括“肾结石”(MeSH)和“锥形束计算机断层扫描”(MeSH)。符合这些要求的研究接受了严格评估。使用独特的质量评估量表对所列研究的优点进行了评估。对血尿患者最准确的成像诊断检查是多排探测器计算机断层扫描。如果40岁以上患者出现镜下血尿,应进行非增强计算机断层扫描或超声检查,若观察到肉眼血尿,则应增加膀胱镜检查。老年患者应进行增强前后计算机断层扫描和膀胱镜检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa1b/10212727/43eeab6b8320/cureus-0015-00000038064-i01.jpg

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