B超在泌尿系统结石中超声诊断声像图特征结石类型及检出率分析.doc

B超在泌尿系统结石中超声诊断声像图特征结石类型及检出率分析 　　【摘要】 目的：探究B超在诊断泌尿系统结石中的声像图特征、结石类型以及检出率。方法：选择2014年6月-2016年5月本院疑似泌尿结石患者200例，对其分别进行X线KUB检查，以及B型超声检查，对比不同检查方式下患者的最终确诊情况，并分析泌尿结石患者利用超声诊断的声像图特征、结石类型以及检出率。结果：两种方式下泌尿系统结石患者的总体检率比较，差异无统计学意义（P0.05）。B超检查中输尿管上段、肾脏结石的检出率与X线检查比较，差异均有统计学意义（P0.05）。X线对尿道结石的检出率较B超检查优势明显（P0.05）。其声像图是椭圆形强回声团，或者弧形强回声带，后方伴有声影。结论：B超在诊断泌尿系统结石中检出率较高，尤其是对输尿管上段和肾脏结石，并且安全、简单、方便，患者容易接受，能够帮助患者的治疗，具有重要的应用价值。 　　【关键词】 B超； 泌尿系统结石； 声像图； 检出率 　　【Abstract】 Objective：To explore the ultrasonogram features，calculi type and detection rates of B-ultrasonography in the diagnosis of urinary calculi.Method：In our hospital from June 2014 to May 2016，200 cases of suspected urinary calculi were selected as the subjects，they were examined by X-ray KUB and B-ultrasonography respectively.The final diagnosis of urinary calculi patients with different examination methods were compared，and the characteristics of urinary calculi，calculi type and the detection rate of ultrasonic diagnosis were analyzed.Result：The overall detection rate of patients with urinary calculi in different methods were compared，the difference was not statistically significant（P0.05）；the detection rate of B-ultrasound examination for upper ureteral，kidney calculi were more obvious than those of the X-ray，the differences were statistically significant（P0.05）；the detection rate of X-ray for urethral calculus was more obvious than that of the B-ultrasound examination（P0.05）.The ultrasonogram was an oval shaped strong echo，or curved strong echo band，posterior with acoustic shadowing.Conclusion：B-ultrasound in the diagnosis of urinary calculus has a higher detection rate，especially for the upper ureteral calculus and kidney calculus，safe，simple and convenient，easy to accept patients can help patients with treatment，has important application value. 　　【Key words】 B-ultrasound； Urinary calculus； Ultrasonogram； Detection Rate 　　First-author’s address：The First People’s Hospital of Jingdezhen City，Jingdezhen 333000，China 　　doi：10.3969/j