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尿路结石占泌尿科门诊总数的8%左右,是急腹症原因中最常见的疾患之一。60%的尿路结石是不透过X线的,故腹部平片检查(KUB)极为重要。其次是分泌性尿路造影,可在确定KUB疑为结石所见的同时评价患侧与健侧尿路的形态和功能。CT和超声(US)检查的适应证是KUB和分泌性尿路造影不能确诊的病例。一、肾结石:KUB应包括肾、输尿管和膀胱。可看到肾结石的大小、形态、数量、部位和密度等,同时还能观察到肾的大小和形态、肠管气体像、腹腔内异常气体像、腹腔内肿块影、腰大肌影等。须与肾结石鉴别
Urinary tract stones account for about 8% of the total number of urological clinics, is one of the most common causes of acute abdomen. 60% of urinary tract stones are not X-ray, so the plain film examination (KUB) is extremely important. Followed by secretory urography, which can be used to determine the shape and function of the ipsilateral and contralateral urinary tract while confirming the suspicion of KUB stones. CT and ultrasound (US) test indications KUB and urinary tract urography can not be confirmed cases. First, kidney stones: KUB should include kidney, ureter and bladder. Can see the size, shape, quantity, location and density of kidney stones, but also to observe the size and shape of the kidney, intestinal gas, abnormal gas inside the abdomen, abdominal mass shadow, psoas muscle shadow. Must be distinguished from kidney stones