摘要
目的:比较B超联合腹部X线平片(KUB)和平扫CT在诊断急性肾绞痛患者尿路结石的效能。方法:对69例因急性肾绞痛在我院泌尿外科门诊或者急诊的患者进行B超联合KUB和平扫CT检查,并对两种诊断方法的诊断效能进行对比研究。结果:经过3个月的随访,69例中确诊患有尿路结石59例。B超联合KUB诊断急性肾绞痛患者尿路结石的敏感度为74.6%(44/59),特异度为100%(10/10)。CT平扫诊断急性肾绞痛患者尿路结石的敏感度为93.2%(55/59),特异度为100%(10/10)。两种影像学方法诊断急性肾绞痛患者尿路结石的敏感度比较差异有统计学意义(P<0.05)。结论:平扫CT用于诊断急性肾绞痛患者尿路结石的敏感度优于B超联合KUB。
Objective： To compare the effect between ultrasonography and plain abdominal radiography with unenhanced computed tomography （CT） for the diagnosis of urinary calculi in patients with renal colic. Methods： Sixty-nine patients with renal colic were diagnosed with ultrasonography; plain abdominal radiography and unen- hanced computed tomography. The findings of two methods were compared. Results： 59 of 69 patients were con- firmed to have urinary calculi by follow-up. Uhrasonography with plain abdominal radiography detected 44 of the 59 patients with calculi （ sensitivity 74.6% and specificity 100% ）. Unenhanced CT detected 55 of 59 patients. （ sen- sitivity 93.2% and specificity 100% ）. Sensitivity of the two methods is of statistical differences in the diagnosis of acute renal colic urolithiasis patients. Conclusion： Unenhanced CT is more sensitive for detecting urolithiasis than ultrasonography with plain abdominal radiography.
出处
《新医学》
2013年第4期259-261,共3页
Journal of New Medicine
关键词
肾绞痛
B超
腹部X线平片
平扫CT
Renal colic
Ultrasonography
Plain abdominal radiography
Unenhanced computed tomography
