摘要
目的探讨彩色多普勒超声对输尿管结石的诊断价值。方法回顾性分析2000例输尿管结石的彩超及二维超声的表现,以螺旋CT检查诊断结果作为对照研究标准。结果 CT检查结果显示输尿管第一狭窄处结石18例,上段平对第三腰椎水平及附近637例,输尿管第二狭窄处70例,输尿管第三狭窄处979例,下段第二、三狭窄间296例;彩超各处确诊率分别为100.00%、98.27%、97.14%、100.00%、96.96%,二维超声确诊率分别为94.44%、74.09%、78.57%、99.59%、69.93%,两者在上段平对第三腰椎水平及附近、第二狭窄处和下段第二、三狭窄间处比较有统计学差异(P均<0.01)。结论彩超对输尿管结石有非常高的检出率,能显著提高输尿管结石的诊断水平,由于其具有的独特优势,临床应作为诊断输尿管结石的常规、首选检查方法。
Objective To explore the diagnosic value of ureteral calculi with Color Doppler Ultrasound（hereinafter refered to as CDU）.Methods 2000 cases of ureteral calculi of their two-dimensional and CDU images were retrospectively analyzed,using Spiral Computed Tomography（SP-CT） results as gold standard.Results Gold standard showed 18 cases ureteral calculiing wree focus on the first narrow,637 cases near the abdominal part of the ureteral at the level of the third lumber vertebra,70 cases were focus on the second narrow,979 cases focus on the third narrow,296 cases between the second and the third narrow.The relevance ratio of CDU were 100.00%,98.27%,97.14%,100.00%,96.96%,the relevance ratio of B-dection were 94.44%,74.09%,78.57%,99.59%,69.93%,which showed satistic difference（P〈0.01）.Conclusion CDU has a high relevance ratio in ureteral calculi,which can evidently raise the ureteral calculi diagnosis and shall be considered as the routine and the first choice of examination technique to calculi diagnosis by clinic,because of its particularly superiority.
出处
《医学影像学杂志》
2012年第7期1178-1181,共4页
Journal of Medical Imaging
