腔内超声与经腹超声在输尿管中下段结石诊断中应用比较.docxVIP

腔内超声与经腹超声在输尿管中下段结 石诊断中应用比较 陈文琴 福州市第八医院超声科 摘要： 目的比较腔内超声与经腹超声在输尿管屮下段结石诊断屮的应用价值。方法选 取本院2015年7月一2017年7月门诊输尿管中下段结石患者100例，为患者施 以腔内超声(经阴道或经直肠超声)检查，并比较腔内超声与经腹超声诊断结 果。结果100例输尿管中下段结石患者经腔内超声检查的检出率高于经腹超声 检查，且腔内超声检查报告获取时间较经腹超声短，差异均有统计学意义 (P0. 05)。结论输尿管屮下段结石患者施以腔内超声检查检出率较经腹超声理 想，且检查分辨率高、获取报告所需时间短，临床应用价值高。 关键词： 输尿管中下段结石;腔内超声;经腹超声；诊断价值; Comparison of Application of Intraductai-ultra Sonography and Transabdominal Sonography in the UreteralDiagnosis of Middle-lower Ureteral Calculus CHEN Wenqin Department of Ultrasonography, The Eighth Hospital of Fuzhou City; Abstract： Objective To compare the application value of intraductal-ultra sonography (IDUS) and transabdominal sonography (TAS) in the diagnosis of middle-lower ureteral calculus. Methods 100 patients with middle-lower ureteral calculus in the outpatient of our hospitai from July 2015 to July 2017 were selected as the research object. These patients were examined by IDUS (transvaginal or transrectal ultrasound) ? The diagnostic results of IDUS and TAS were compared. ResuIts The detection rate of middle-lower ureteral calculus of IDUS was higher than that of TAS, while the report acquisition time of IDUS was shorter than that of TAS, the difference had statistical significancc (P 0.05) ? Conclusion The dctcction rate of middlelower ureteral calculus of IDUS was more satisfactory compared with TAS, and it has high resolution and short report acquisition time, which has high cl ini cal appl i cat ion value. Keyword： middle-lower ureteral calculus; intraductal-ultra sonography; transabdominal sonography; diagnostic value; 输尿管结石是常见的泌尿外科疾病，其中以输尿管中下段结石最为常见，随着 我国现代化经济水平的不断发展，水质受到严重污染及破坏，加之人们个人牛 活习惯及饮食习惯的改变，输尿管结石的发病率呈逐年递增趋势口丄。输尿管结 石极易引发不同程度的肾积水，若患者早期得不到准确的诊断和及时合理的治 疗，在短时间内患者的血肌肝及尿素氮水平将显著升高，从而出现电解质紊乱 等情况，诱发急性梗阻性肾衰竭，严重威胁患者生命安全，因此为患者早期施 以准确的诊断对改善患者预后极为关键21。一直以来针对输尿管结石的诊断以 超声检查为主，然而因多数患者膀胱存在刺激症状，就诊前膀胱排空，而经腹 超声则需要在充盈膀胱前提下进行，因此局限性较大，患者检查时间长。随着研 究的深入及超声诊断学的发现，目前腔内超声的出现使得经腹超声局限性得以 解决，备受临床认可及肯定RL本研究就腔内超声及经腹超声在输尿管中下段 结石诊断中的应用价值作如下观察报告。 1资料与方法 1