席剑飞

【摘  要】目的：总结在输尿管中下段结石的诊断中，运用腹部超声诊断的临床经验。方法：将我院在2018年1月-2019年1月期间接收的108例输尿管中下段结石患者作为研究对象，按照随机抽取的方法，将54例患者作为对照组，54例患者作为研究组。对对照组患者采用X线尿路平片进行检查诊断，对研究组患者采用腹部超声进行诊断。对比两组患者诊断的准确率。结果：对照组患者中，中段结石准确诊断20例，下段结石准确诊断26例，诊断准确率为85.19%（46/54）;研究组患者中，中段结石准确诊断22例，下段结石准确诊断29例，诊断准确率为94.44%（51/54）。研究组诊断准确率明显高于对照组，p<0.05，差异有统计学意义。结论：采用腹部超声诊断输尿管中下段结石具有更高的准确率，其临床应用价值较高。

【关键词】腹部超声;输尿管;结石

【中图分类号】R445.1      【文献标识码】B      【文章编号】1672-3783（2019）09-0103-02

【Abstract】objective：to summarize the clinical experience of abdominal ultrasonography in the diagnosis of middle and lower ureteral calculi.Methods：108 cases of patients with middle and lower ureteral calculi admitted by our hospital from January 2018 to January 2019 were selected as research objects. 54 cases were selected as control group and 54 cases as research group according to random sampling method. Patients in the control group were examined and diagnosed by X-ray urography， and patients in the study group were diagnosed by abdominal ultrasound. The diagnostic accuracy of the two groups was compared.Results：in the control group， 20 cases of middle stones were accurately diagnosed and 26 cases of lower stones were accurately diagnosed， with an accuracy of 85.19% （46/54）. In the study group， 22 cases of middle stones were accurately diagnosed， and 29 cases of lower stones were accurately diagnosed， with a diagnostic accuracy of 94.44% （51/54）. The diagnostic accuracy rate of the research group was significantly higher than that of the control group （p<0.05）， the difference was statistically significant.Conclusion：the diagnosis of middle and lower ureteral calculi by abdominal ultrasound has higher accuracy and clinical value.

【Key words】abdominal ultrasound; Ureter. The stone

引言

输尿管结石临床中常见的一种腹部疾病，其临床多表现出血尿、肾绞痛等症状。输尿管结石发病区域主要集中在輸尿管中下段1/3处，且具有发病周期短、发病快等特征。输尿管结石严重降低了患者的生活质量，极大的困扰着患者的日常生活。因此，提高输尿管结石诊断的准确性，及时给予患者相应的治疗，对提高患者生活质量，减轻患者痛苦具有重要意义。相对于传统的X线诊断输尿管中下段结石来说，运用腹部超声诊断能够进一步提高诊断的准确性。本文主要探讨了腹部超声诊断输尿管中下段结石的临床应用价值及经验，主要报道内容如下。……