Buĭlov V M
Vestn Rentgenol Radiol. 1994 Jan-Feb(1):17-21.
Neither the ultrasonic, not the x-ray method alone cannot provide the correct diagnosis in nephrolithiasis. Ultrasonic scanning of the kidneys is indicated at the first stage of the diagnosis. In case of a concrement detection without dilatation of the pelvic calyceal system and the presence of a typical pattern of a calcified papilla or coral-like concrement on the picture the diagnosis can be considered made. If ultrasonic scanning detects, besides the concrement shade, a dilatation of the pelvic calyceal system, excretory urography and x-ray television pyeloscopy are necessary to specify the urodynamic state, that is important to predict the concrement of its fragments elimination under the effect of conservative therapy or long-distance lithotripsy.
单独使用超声或X射线方法都无法对肾结石做出正确诊断。肾脏超声扫描是诊断的第一阶段。如果在肾盂肾盏系统未扩张的情况下检测到结石，且图像上有典型的钙化乳头或珊瑚状结石模式，则可认为已做出诊断。如果超声扫描除了检测到结石阴影外，还发现肾盂肾盏系统扩张，则需要进行排泄性尿路造影和X射线电视肾盂镜检查以明确尿动力学状态，这对于预测结石在保守治疗或远距离碎石术作用下碎片的排出情况很重要。
