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目的:总结分析急诊输尿管结石的诊断要点,提高对本病的诊断水平。方法:我院近年急诊诊断输尿管结石的患者共143例,记录并统计他们的临床资料进行回顾性分析。结果:本组143例患者,通过症状与查体定性诊断101例(70.6%),所有患者均检查彩超,诊断率69.9%(100例);83例患者查卧位腹平片,诊断率60.2%(50例);49例患者进一步查泌尿系三维重建CT(CTU),诊断率98.0%(48例),综合患者临床症状、体格检查及辅助检查诊断率为90.2%(129例)。结论:作为泌尿外科最为常见的急诊,提高对输尿管结石的诊断水平极为重要。该病诊断需综合考虑患者临床症状及体格检查,必要时可行多种辅助检查以明确诊断。
OBJECTIVE: To summarize and analyze the diagnosis points of emergency ureteral calculi and to improve the diagnosis of this disease. Methods: A total of 143 cases of ureteral calculi were diagnosed in our hospital in recent years, and their clinical data were recorded and analyzed retrospectively. Results: In this group of 143 patients, 101 cases (70.6%) were diagnosed by symptoms and physical examination, all cases were examined by color Doppler ultrasound, the diagnostic rate was 69.9% (100 cases); 83 cases were examined by abdominal plain film, the diagnostic rate was 60.2 (50 cases). Thirty-nine patients were further investigated with three-dimensional reconstruction of urinary CT (CTU). The diagnostic rate was 98.0% (48 cases). The diagnostic rate of clinical symptoms, physical examination and auxiliary examination was 90.2% (129 cases). Conclusion: As the most common emergency department of urology, it is very important to improve the diagnosis of ureteral calculi. The diagnosis of the disease should be comprehensive consideration of patients with clinical symptoms and physical examination, if necessary, a variety of auxiliary examination to confirm the diagnosis.