Krivenko E V, Minkh N V, Smetanina L I, Baryshnikov V L, Sobol' M Iu, Kanorskaia G A
Ter Arkh. 1994;66(12):40-1.
Ultrasonic and x-ray investigations were performed in 208 urolithiasis suspects. Concrements were diagnosed in 156 of them. X-rays failed to find concrements in 25 patients out of 128 with calyceal concrements diagnosed ultrasonically because of the concrements' small size, their x-ray negativity and ultrasonic hyperdiagnosis. Pelvic concrements were registered in 12 patients by both the methods. Detection of ureteroliths (16 cases) was not an easy task for echography which was, however, rather successful after the lumen extension up to 1 cm. Excretory urography provided additional information on the upper urinary tracts: stricture of the ureteropelvic segment, juxtavesical ureteral stricture, incomplete renal and ureteral doubling (15, 3 and 7 subjects, respectively), etc. Combined application of ultrasonography and excretory urography in urolithiasis facilitates the choice of optimal treatment for it can both localize concrement and assess the condition of the urinary tracts.
对208名疑似尿路结石患者进行了超声和X线检查。其中156人被诊断出有结石。由于结石体积小、X线不显影以及超声过度诊断，在超声诊断为肾盏结石的128例患者中，有25例X线检查未发现结石。两种方法均在12例患者中发现盆腔结石。超声检查发现输尿管结石（16例）并非易事，不过，在管腔扩张至1厘米后，超声检查相当成功。排泄性尿路造影提供了上尿路的额外信息：输尿管肾盂段狭窄、膀胱旁输尿管狭窄、不完全性重复肾和输尿管（分别为15例、3例和7例）等。超声检查和排泄性尿路造影联合应用于尿路结石，有助于选择最佳治疗方案，因为它既能定位结石，又能评估尿路状况。
