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[尿路造影、超声检查和计算机断层扫描与肾脏及腹膜后检查临床结果的相关性。诊断错误的可能性]

[Correlation of urography, ultrasonography and computer tomography with clinical findings in examinations of the kidneys and retroperitoneum. Possibilities of diagnostic errors].

作者信息

Nagy V, Valanský L, Zelenák P, Michalko T, Martincok D, Kaminská L, Mach P, Zachar M, Nagyová D, Sokol L

机构信息

Urologická klinika FNsP, Kosiciach, Slovakia.

出版信息

Bratisl Lek Listy. 1993 Aug;94(8):453-9.

PMID:8004494
Abstract

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.).

摘要

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)

相似文献

1
[Correlation of urography, ultrasonography and computer tomography with clinical findings in examinations of the kidneys and retroperitoneum. Possibilities of diagnostic errors].[尿路造影、超声检查和计算机断层扫描与肾脏及腹膜后检查临床结果的相关性。诊断错误的可能性]
Bratisl Lek Listy. 1993 Aug;94(8):453-9.
2
[The role of ultrasonics in the diagnosis of kidney diseases].[超声在肾脏疾病诊断中的作用]
Ter Arkh. 1988;60(1):95-7.
3
[Intravenous urography- v.s.- ultrasonography or intravenous urography +/- ultrasonography (author's transl)].静脉肾盂造影术与超声检查对比,或静脉肾盂造影术±超声检查(作者译)
J Urol (Paris). 1981;87(4):217-8.
4
[Computed tomorgraphy and ultrasound; comparative study in diseases of the upper abdomen and retroperitoneal space (author's transl)].
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[The new technics: computerized transverse axial tomography, ultrasonics and radioisotopes in renal examinations. Comparative study].[新技术:计算机断层扫描、超声及放射性核素在肾脏检查中的应用。对比研究]
Acta Urol Belg. 1979 Oct;47(4):608-17.
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[In adult urology, when should ultrasonography, computed tomography, intravenous urography be requested?].[在成人泌尿外科中,何时应要求进行超声检查、计算机断层扫描、静脉尿路造影?]
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7
Can ultrasound and computed tomography replace high-dose urography in patients with impaired renal function?超声和计算机断层扫描能否替代肾功能受损患者的大剂量尿路造影?
Q J Med. 1984 Summer;53(211):411-25.
8
Renal abscess: report of a case with sonographic, urographic and CT evaluation.肾脓肿:一例经超声、尿路造影及CT评估的病例报告。
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[Integration of diagnostic methods in renal vascular pathology].[肾脏血管病理学中诊断方法的整合]
Arch Ital Urol Nefrol Androl. 1992 Jun;64 Suppl 2:139-42.
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Diagnostic significance of excretory urography and ultrasonography in renal diseases.
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