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目的:讨论输尿管结石的腹部彩超检查操作技巧和临床经验。方法:回顾性分析74例输尿管结石的超声表现,多体位(仰卧、俯卧、侧卧位)及多切面(纵切、横切、斜切)扫查,用加压交替法提高输尿管结石诊断。结果:74例患者中,单侧输尿管结石61例(82.4%),双侧输尿管结石例13(17.6%),输尿管上段结石34例(45.9%),中段结石16例(21.6%),下段结石24例(32.4%),其中轻度肾积水患者57例(77.0%),中度肾积水患者10例(13.5%),重度肾积水患者4例(5.4%),无肾积水患者3例(4.1%)。结论:腹部超声诊断输尿管结石简便快速、无创,在输尿管结石的诊断中,超声检查具有很高的临床价值,值得临床推广。
OBJECTIVE: To discuss abdominal ultrasonography techniques and clinical experience of ureteral calculi. Methods: Ultrasonographic features of 74 cases of ureteral calculi were retrospectively analyzed. The multi-position (supine, prone, lateral position) and multi-slice (longitudinal, transverse and oblique) scanning were performed. The ureteral calculi was diagnosed by pressure alternating method. Results: Of the 74 patients, unilateral ureteral calculi in 61 cases (82.4%), bilateral ureteral calculi in 13 cases (17.6%), ureteral calculi in 34 cases (45.9%), middle stone in 16 cases (21.6% There were 24 cases (32.4%) with mild hydronephrosis in 57 cases (77.0%), moderate hydronephrosis in 10 cases (13.5%) and severe hydronephrosis in 4 cases (5.4%) without hydronephrosis Three patients (4.1%). Conclusion: Abdominal ultrasonography is a simple, rapid and non-invasive method for the diagnosis of ureteral calculi. Ultrasonography has high clinical value in the diagnosis of ureteral calculi, which is worthy of clinical promotion.