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目的:探讨泌尿系超声检查对输尿管结石引起的急性肾周积液的诊断及治疗意义。方法:使用超声检查对收治的50例输尿管结石伴有急性肾周积液的患者进行诊断及疗效观察,同时使用CT扫描对患者进行诊断及对疗效进行观察,比较两种检测方法的优越性。结果:超声检查对于输尿管结石的阳性诊断率为70%,CT扫描的阳性诊断率为96%,两种诊断方式比较有显著差异(P<0.05);超声检查对肾周积液的敏感性为98%,而CT对肾周积液的敏感性为46%,两种检查方法对肾周积液的诊断有显著差异(P<0.05)。结论:虽然超声检查对输尿管结石的阳性诊断率略低于CT,但对于诊断肾周积液明显优于CT检查,再结合检查费用远低于CT检查,因此超声检查可以作为输尿管结石伴急性肾周积液诊断和治疗的首选方法。
Objective: To investigate the significance of urinary ultrasonography in the diagnosis and treatment of acute renal peritonitis caused by ureteral calculi. Methods: Fifty patients with ureteral calculi accompanied by acute perirenal effusion were diagnosed and treated with ultrasound. At the same time, CT scan was used to diagnose the patients and observe the curative effect. The superiority of the two methods was compared. Results: The positive diagnostic rate of ultrasonography for ureteral calculi was 70%, the positive diagnostic rate of CT scan was 96%, there was a significant difference between the two diagnostic methods (P <0.05); the sensitivity of ultrasound examination to the perirenal effusion was 98%, while CT sensitivity of perirenal fluid was 46%. There was significant difference between the two methods in the diagnosis of perirenal fluid (P <0.05). Conclusion: Although the positive diagnostic rate of ureteral calculi by ultrasound is slightly lower than that of CT, the effusion of perirenal fluid is better than CT in diagnosing peritoneal fluid, and the cost of combined examination is much lower than that of CT. Therefore, ultrasonography can be used as ureteral calculi with acute kidney Weeks fluid diagnosis and treatment of the preferred method.