超声与螺旋CT平扫对输尿管结石所致急性肾绞痛诊断的价值
Value of Ultrasound and Spiral CT Plain Scan in the Diagnosis of Acute Renal Colic Caused by Ureteral Calculi
欧阳月安1
作者信息
- 1. 井冈山市人民医院超声科,江西 井冈山 343604
- 折叠
摘要
目的 比较超声与螺旋CT平扫用于输尿管结石所致急性肾绞痛患者的诊断价值.方法 选取井冈山市人民医院于 2021 年7 月-2023 年 8 月收治的 61 例输尿管结石患者作为研究对象,所有患者均给予超声和螺旋CT平扫检查,以手术结果为金标准,比较不同部位输尿管结石应用超声和螺旋CT平扫的检出率、超声在输尿管结石中的敏感性值.结果 以手术结果为金标准,并据此将输尿管结石的直径划分为≥6 mm组和＜6 mm组,超声对两组结石的敏感性值分别为 82.05%和 59.09%,螺旋CT平扫对两组结石的敏感性值分别为 97.44%和 90.91%;组间比较,差异有统计学意义(P＜0.05).螺旋CT平扫对输尿管结石的检出率高于超声(P＜0.05),其中在输尿管上段结石患者中,超声与螺旋CT平扫的检出率比较,差异无统计学意义(P＞0.05);在输尿管中、下段结石患者中,超声与螺旋CT平扫的检出率比较,差异有统计学意义(P＜0.05).结论 螺旋CT平扫在输尿管结石所致急性肾绞痛诊断中的价值较大,是一种较好的诊断手段,建议临床应用.
Abstract
Objective To compare the diagnostic value of ultrasound and spiral CT plain scan in patients with acute renal colic caused by ureteral calculi.Methods A total of 61 patients with ureteral calculi admitted to Jinggangshan People's Hospital from July 2021 to August 2023 were selected as the research objects.All patients were examined by ultrasound and spiral CT plain scan.Taking the surgical results as the gold standard,the detection rate of ultrasound and spiral CT plain scan in different parts of ureteral calculi,the sensitivity of ultrasound in ureteral calculi were compared.Results Taking the surgical results as the gold standard,the diameter of ureteral calculi was divided into≥6 mm group and<6 mm group,the sensitivity values of ultrasound for the two groups of calculi were 82.05%and 59.09%,respectively;the sensitivity values of spiral CT plain scan for the two groups of calculi were 97.44%and 90.91%,respectively;the difference between the two groups was statistically significant(P<0.05).The detection rate of spiral CT plain scan for ureteral calculi was higher than that of ultrasound(P<0.05),while in patients with upper ureteral calculi,there was no significant difference in the detection rate between ultrasound and spiral CT plain scan(P>0.05);in patients with middle and lower ureteral calculi,the detection rate of ultrasound and spiral CT scan was statistically significant(P<0.05).Conclusion Spiral CT plain scan is of great value in the diagnosis of acute renal colic caused by ureteral calculi.It is a good diagnostic method and is recommended for clinical application.
关键词
超声/螺旋CT平扫/急性肾绞痛/输尿管结石Key words
Ultrasound/Spiral CT plain scan/Acute renal colic/Ureteral calculi引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据