输尿管_____]_输尿管；_结石；

输尿管结石所致<10 mm肾积水的超声诊断

http://www.100md.com 《江苏大学学报(医学版)》 2006年第2期

输尿管,,],输尿管；,结石；,超声诊断,输尿管结石所致<10mm肾积水的超声诊断,1材料和方法,2结果,3讨论,[参考文献]

     [摘要] 目的：探讨输尿管结石所致<10 mm肾积水的发生率、原因及超声诊断注意点。方法： 98例正常人与93例(其中2例双肾同时发生积水)经X线体外震波碎石(ESWL)及临床确诊为输尿管结石的病例进行超声观察、登记、统计分析。结果： 93例(95肾)输尿管结石患者中,有28例(占295%)集合系统宽度<10 mm,平均宽度为(79±137)mm,与健侧相比,平均增宽31 mm,经t检验,有非常显著差异(P<001)。结论：输尿管结石所致<10 mm肾积水的发生率为 2947%,超声诊断输尿管结石所致肾积水<10 mm时应作两侧比较,当两侧集合系统宽度差别≥31 mm时,应考虑肾积水的存在,此时应结合临床、是否合并同侧输尿管扩张、合并结石等情况而作出肾积水的诊断。

    [关键词] 输尿管；结石；超声诊断

    Primary Study of Ultrasonic Diagnosis of Ureteral Calcili Concurred

    with <10 mm Hydronephrosis

    WANG Zhongsheng, CHEN Binhua, DU Qingshou

    (Department of Ultrasonics, Yangzhong Traditional Medicine Hospital，Yangzhong Jiangsu 212200, China)

    [Abstract] Objective: To study the incidence, causes and diagnostic points of ureteral calculi complicated by <10 mm hydronephrosis. Methods： By measuring the width of renal pelvis,compared with 98 normal persons, 93 cases with ureterolithiasis concurred with<10 mm hydronephrosis, among them, there were 2 cases whose hydronephrosis involved both kidneys at the same time,have been observed and analyzed statistically. Results： Among 93 cases with ureterolithiasis (95 kidneys involved), there are 28 cases (295%) concurred with <10 mm hydronephrosis, the average width of renal pelvis is(79±137)mm,and compared with normal kidney, the width of ill kidney of renal pelvis extends by 31 mm,and by t test,there is significant difference between them(P<001). Conclusion： While detecting the patients with ureterolithiasis, if the width of renal pelvis is <10 mm, it is necessary to measure the width of another kidney and compare with them. If the width of ill renal pelvis is extended by 31 mm, the diagnosis of hydronephrosis can be established, then, combining with other signs, such as ureterectasis, the diagnosis of ureterolithiasis can be set up. ......

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