X线与超声检查诊断尿结石的临床效果对比分析.pdf

中 国 医 药 指 南 2012 年 6 月第 10 卷第 18 期 • 论 著 • 431 X线与超声检查诊断尿结石的临床效果对比分析 张绿林 （湖南省沅陵县人民医院超声科，湖南沅陵4 19600 ） 摘要 目的 方法 【 】 对比分析X 线与超声检查诊断尿结石的临床效果。 回顾分析我院自2010 年1 月至2011 年1 月的尿结石患者140 例， 男105 例，女35 例，将其分为2 组，实验组患者70 例，进行X 线检查。对照组患者70 例，进行超声诊断检查。所有患者经手术取 石、综合疗法等手段，经术后排石确诊后对比分析X 线与超声检查诊断尿结石的临床效果。结果 实验组诊断符合67 例，诊断符合率为 95.7% ，其中输尿管上段结石23 例，中段结石符合19 例，下段结石符合22 例；漏诊3 例，为输尿管中下段结石。X 线平片诊断符合65 例， 诊断符合率为92.9% ，主要为尿酸结石或部分草酸钙结石，不能确诊5 例。结论 超声作为一种廉价、无创、高效的诊断尿结石的手段应 在临床广泛应用推广，其诊断率与X 线相当。 关键词 【 】X 线；超声；尿结石 中图分类号：R691.4 文献标识码：B 文章编号：1671-8194（2012）18-0431-02 ZHANG Lu-lin (Department of Ultrasound, Yuanling People`s Hospital, Yuanling 419600, China) [Abstract] Objective  To give The analysis of the compare between X-ray and ultrasound of the diagnose to clinical urinary calculi.Methods  Retrospective analysis 140 patients in which 105 males and 35 females of urinary calculi , which were taken in hospital during from JUA,2010 to JUA,2012, were randomly divided into 2 groups. 70 cases in experiment group got the check of X-ray, and 70 cases in controlled group got the ultrasound of the diagnose. Then all the patients taken the reasonable surgery to take out the calculi and compared the clinical curative effect of each group. Results  The rate of diagnose of experiment group was 95.7 %( 67 cases was accord to the results): 23 cases were up-ureter calculi, 19 cases were mid-ureter calculi and 22 cases were down-ureter calculi, besides 3 cases were misdiagnosed which were submet-ureter calculi. The rate of diagnose of controlled group was 92.9 %( 65 cases was accord to the results)