ULTRASONIC DIAGNOSIS OF URETERAL CALCULI IN PATIENTS WITH ACUTE FLANK PAIN

被引：24

作者：

ASLAKSEN, A

GOTHLIN, JH

机构：

[1] Department of Diagnostic Radiology, Haukeland University Hospital, Bergen

来源：

EUROPEAN JOURNAL OF RADIOLOGY | 1990年 / 11卷 / 02期

关键词：

Hydronephrosis; Kidney; ultrasound study; urography; Ureter; calculi;

D O I：

10.1016/0720-048X(90)90153-3

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

The diagnostic value of ultrasonography (US) and intravenous urography has been compared in a prospective study comprising 123 consecutive patients with severe acute flank pain of less than 72 hours' duration. Ultrasonography was performed transabdominally with a 5 MHz sector real-time transducer. Ureteral calculi were considered the final diagnoses in 46 patients, of which 35 with and 11 without accompanying hydronephrosis. Ureteral calculi were correctly diagnosed by US in 17 patients (sensitivity 37%). If hydronephrosis with or without calculus is included as a positive sign of ureteral calculus, a correct diagnosis was suggested by US in 34 patients (sensitivity 74%). We consider US to be a valuable method in patients with previous contrast media reactions, but recommend urography as the standard imaging method when renal colic is clinically suspected. © 1990.

引用

页码：87 / 90

页数：4

共 15 条

[1]

Ellenbogen, Scheible, Talner, Leopold, Sensitivity of grey scale ultrasound in detecting urinary tract obstruction, AJR, 130, pp. 731-733, (1978)

[2]

Erwin, Caroll, Sommer, Renal colic: the role of ultrasound in initial evaluation, Radiology, 152, pp. 147-150, (1984)

[3]

Geitung, Gothlin, Uhde, Aslaksen, Calculation of internal costs in a department of diagnostic radiology, Eur J Radiol, 9, pp. 181-182, (1988)

[4]

Gothlin, Afonso, Hoiem, Simplifying radiological examinations: can it really be done in urography, Eur J Radiol, 6, pp. 85-88, (1986)

[5]

Hartman, Hattery, Witten, Williamson, Mortality during excretory urography: Mayo clinic experience, AJR, 139, pp. 919-922, (1982)

[6]

Hill, Rich, Mardiat, Finder, Sonography vs. excretory urography in acute flank pain, AJR, 144, pp. 1235-1238, (1985)

[7]

Juul, Holm-Bentzen, Rygaard, Holm, Ultrasonographic diagnosis of renal stones, Scand J Urol Nephrol, 21, pp. 135-137, (1987)

[8]

Kamholtz, Cronan, Dorfman, Obstruction and the minimally dilated renal collecting system: US evaluation, Radiology, 170, pp. 51-53, (1989)

[9]

Kuuliala, Niemi, Ala-Opas, Ultrasonography for diagnosis of obstructing ureteral calculus, Scand J Urol Nephrol, 22, pp. 275-277, (1988)

[10]

Laing, Jeffrey, Wing, Ultrasound versus excretory urography in evaluating acute flank pain, Radiology, 154, pp. 613-616, (1985)

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