Nagy V, Valanský L, Zelenák P, Michalko T, Martincok D, Kaminská L, Mach P, Zachar M, Nagyová D, Sokol L
Urologická klinika FNsP, Kosiciach, Slovakia.
Bratisl Lek Listy. 1993 Aug;94(8):453-9.
The authors prospectively and retrospectively mutually compared the diagnostic value of urography, ultrasonography (USG), and computer tomography (CT) in four patients, with the diagnosis misstated prior to operation. The most valuable findings were provided by CT. Mere utilization of these methods does not exclude the possibility of diagnostic misstatements. In three patients the ultimate diagnosis was assessed on the basis of operative revision and in one patient, by means of cytologic examination of the renal punctate. Owing to retrospective evaluation of examinations, diagnostically valuable symptoms which could have lead to the correct diagnosis, were distinguished. Hence, examinations must necessarily be evaluated in complex with the general clinical state. (Fig. 6, Ref. 14.).
作者对4例术前诊断错误的患者,前瞻性和回顾性地相互比较了尿路造影、超声检查(USG)和计算机断层扫描(CT)的诊断价值。CT提供了最有价值的检查结果。仅使用这些方法并不能排除诊断错误的可能性。3例患者的最终诊断基于手术修正,1例患者通过肾穿刺细胞学检查确定。由于对检查的回顾性评估,区分出了本可导致正确诊断的有诊断价值的症状。因此,必须结合患者的一般临床状况对检查进行综合评估。(图6,参考文献14)