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超声诊断氯胺酮相关性膀胱炎的临床作用分析

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目的 研究超声诊断氯胺酮相关性膀胱炎的临床应用价值.方法 60例患者均经病理检查确定发生氯胺酮相关性膀胱炎,于就诊时所有患者均接受超声影像检查,记录膀胱形态、壁厚、内腔尺寸(厚径、横径、长径),根据相关数据计算膀胱内残余尿量及容量.所得图片均指定2名或以上专科影像医师采用双盲阅片法诊断.记录60例氯胺酮相关性膀胱炎患者超声检查结果 ,并将其与病理诊断结果 给予对比后得出结论 .结果 60例氯胺酮相关性膀胱炎患者均顺利完成超声检查,无中断、退出等异常情况,超声检查成功率高达100.00%.分析可知,60例患者经超声检查与病理诊断符合率较高(分别为91.67%、8.33%),数据对比差异无统计学意义.结论 利用超声检查具有较为理想的氯胺酮相关性膀胱炎检出率,有利于为医生提供可靠的氯胺酮相关性膀胱炎诊治依据,对保障患者诊疗效果、生活质量具有重要价值.
Analysis of the clinical effect of ultrasound in the diagnosis of ketamine associated cystitis
Objective To study the clinical value of ultrasonography in the diagnosis of ketamine associated cystitis. Methods 60 cases were confirmed by pathological examination to determine the occurrence of ketamine associated cystitis in clinic, all patients underwent ultrasound examination, recording bladder morphology, wall thickness, cavity size (thickness, diameter, length and diameter), calculation of residual urine volume and bladder capacity according to the relevant data. The pictures were assigned to 2 or more specialists, and the double blind scan was used. The ultrasonographic findings of 60 patients with ketamine associated cystitis were recorded and compared with the pathological diagnosis. Results 60 cases of ketamine related cystitis were successfully examined with no interruption and withdrawal. The success rate of ultrasonography was 100.00%. The analysis showed that the coincidence rate of ultrasonography and pathological diagnosis was 60 (91.67% and 8.33%) respectively, and there was no significant difference between the two groups. Conclusion the use of ultrasound has a detection rate of ketamine associated cystitis ideal, to provide a reliable basis for the diagnosis and treatment of ketamine associated cystitis doctor, has important value on the quality of life of patients with treatment effect and security.

ultrasonographyketamine associated cystitisclinical value

徐鸿美

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武义县中医院 超声科,浙江 金华 321200

超声 氯胺酮相关性膀胱炎 临床价值

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(9)
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