摘要
目的:探讨经腹超声检查输尿管中下段结石的方法,以提高输尿管中下段结石的超声诊断率。方法:通过267例输尿管中下段结石超声诊断的回顾分析,采用探头加压旋转扫查法及补充利尿法扫查输尿管中下段,特别对输尿管中下段各狭窄部位进行重点扫查,并利用输尿管周围的解剖标志帮助定位。结果:267例输尿管中下段结石患者中以输尿管进入膀胱壁外段和膀胱壁内段多见,分别为69例和146例,占25.8%和54.7%,大小以10 mm以下多见,占95.1%。结论:应用加压旋转扫查法附加利尿法可明显提高输尿管中下段结石的超声检出率,且方便、实用,不受设备限制。
Objective：To verify certain manual skills of transabdominal ultrasonography for accurate diagnosis of the middle-lower ureteral calculi.Methods：Retrospective analysis was conducted in 267 cases with middle-lower ureteral calculi,and those patients were undergone detection for the stones by rotatory compression of the transducer against the skin and complementary diuretics.Particularly,the narrow segment was given enhanced scanning in compliance with the anatomic structure of the ureter.Results：Of the 267 cases,the stones were seen most frequently at the muscular layer of vesical（n=69;25.8%） or in the outlet of ureter（n=146;54.7%）,sized less than 10 mm by dimension（95.1%）.Conclusion：Rotatory compression scanning with administration of diuretics can significantly improve the detection of the calculi in middle-lower ureteral segment for its easy performance and freedom of limitation to the facility.
出处
《皖南医学院学报》
CAS
2011年第6期505-507,共3页
Journal of Wannan Medical College
关键词
超声
输尿管中下段
经腹
ultrasound
middle-lower ureteral calculi
transabdominal
