76例输尿管结石伴患侧肾脏无积水患者的超声诊断分析.pdf

4 12 • 论   著 • August 2013, Vol.11, No.22 Guide of China Medicine 76例输尿管结石伴患侧肾脏无积水患者的超声诊断分析 亓 鹏 （山东省泰安市中心医院分院，山东 泰安 271000 ） 【摘要】目的  方法 探讨在泌尿 系统结石高发区行输尿管超声常规检查的必要性。 对 1283 例输尿管结石中76 例伴患侧肾脏无积水的超声 诊断进行分析。结果 76 例患侧肾脏无积水的患者中有 37 例因下腹疼痛等症状行输尿管常规超声检查检 出输尿管结石，39 例无临床症状 行输尿管常规超声检查检 出输尿管结石。结论 在结石高发区超声检查过程中，即使双肾不伴有肾积水，也应行输尿管常规超声检查。 【关键词】 超声；输尿管结石；肾积水 中图分类号：R693.4      文献标识码：B        文章编号：1671-8194（2013）22-0412-02 QI Peng (Branch Hospital, Tai’an Central Hospital, Tai’an 271000, China) [Abstract] Objective To investigate the high risk area in urinary system stones go ureter ultrasound to detect the necessity. Methods 1283 cases of ureteral calculi in 76 cases accompanied with ipsilateral kidne hydronephrosis ultrasound diagnosis analysis. Results 76 cases of ipsilateral kidney hydronephrosis patients were 37 cases suffering from lower abdominal pain and other symptoms with ureteric routine ultrasound examination identified 39 cases of ureteral calculi, without clinical symptoms with ureteric conventional ultrasonography detected ureteral calculi. Conclusion The high incidence area in stones ultrasound examination process, even if the double kidney with hydronephrosis, also should go ureter ultrasound. [Key words] Ultrasonic; Ureteral calculi; Hydronephrosis 新疆喀什地区气候干燥，地下多为盐碱水，长期饮用易引起泌 石等异常回声，并常规测量、记录、采图。 尿系统结石。输尿管结石为泌尿系统结石之一，多来自于肾结石， 2 检查结果 是引起急腹症的常见病因之一。输尿管结石引起尿路梗阻，导致患 本组1283例输尿管结石患者中1207例伴不同程度肾积水和输尿管 侧肾脏、输尿管不同程度积水时易引起超声检查者重视，结石检出 扩张，余76例患侧肾脏集合系统无分离，输尿管腹段、盆段、入膀胱 率较高，而因结石较小或位置较低，患侧肾脏、输尿管积水不明显 壁段有或无扩张，其中37例根据临床经验 （有下腹胀痛等症状）行输 时，超声检查易漏误诊。为提高输