中国医疗器械信息
中國醫療器械信息
중국의료기계신식
CHINA MEDICAL DEVICES INFORMATION
2014年
7期
13-15,37
,共4页
实时三维超声%二维超声%诊断%输尿管下段结石
實時三維超聲%二維超聲%診斷%輸尿管下段結石
실시삼유초성%이유초성%진단%수뇨관하단결석
real-time three-dimensional ultrasound%two-dimensional ultrasound%diagnosis%lower ureteral stones
目的：对比二维超声检查结果，评估实时三维超声成像技术诊断输尿管下段结石的应用价值。方法：分析输尿管下段结石病例150例共152个病变，均作二维超声及实时三维超声诊断，并以手术取石、碎石、药物排石后结果作为验证标准。结果：输尿管下段结石在合并肾盂积液情况下，两种方法之间无显著差别(P＞0.05）；当无肾盂积液情况下，两种方法有显著差异(P＜0.05），实时三维超声比二维超声确诊率高；总体上两种方法有显著差异(P＜0.05），实时三维超声比二维超声准确率要高，漏诊少。结论：经实时三维超声诊断输尿管下段结石比经二维超声准确率高，具有直观、立体感强的特点，应用容积存储效应，结合多切面选择，可协助疑难病例的诊断，对减少漏诊输尿管下段结石有实用价值。
目的：對比二維超聲檢查結果，評估實時三維超聲成像技術診斷輸尿管下段結石的應用價值。方法：分析輸尿管下段結石病例150例共152箇病變，均作二維超聲及實時三維超聲診斷，併以手術取石、碎石、藥物排石後結果作為驗證標準。結果：輸尿管下段結石在閤併腎盂積液情況下，兩種方法之間無顯著差彆(P＞0.05）；噹無腎盂積液情況下，兩種方法有顯著差異(P＜0.05），實時三維超聲比二維超聲確診率高；總體上兩種方法有顯著差異(P＜0.05），實時三維超聲比二維超聲準確率要高，漏診少。結論：經實時三維超聲診斷輸尿管下段結石比經二維超聲準確率高，具有直觀、立體感彊的特點，應用容積存儲效應，結閤多切麵選擇，可協助疑難病例的診斷，對減少漏診輸尿管下段結石有實用價值。
목적：대비이유초성검사결과，평고실시삼유초성성상기술진단수뇨관하단결석적응용개치。방법：분석수뇨관하단결석병례150례공152개병변，균작이유초성급실시삼유초성진단，병이수술취석、쇄석、약물배석후결과작위험증표준。결과：수뇨관하단결석재합병신우적액정황하，량충방법지간무현저차별(P＞0.05）；당무신우적액정황하，량충방법유현저차이(P＜0.05），실시삼유초성비이유초성학진솔고；총체상량충방법유현저차이(P＜0.05），실시삼유초성비이유초성준학솔요고，루진소。결론：경실시삼유초성진단수뇨관하단결석비경이유초성준학솔고，구유직관、입체감강적특점，응용용적존저효응，결합다절면선택，가협조의난병례적진단，대감소루진수뇨관하단결석유실용개치。
Objective: Contrast two-dimensional ultrasound examination results to assess the real-time three-dimensional ultrasound imaging diagnosis of lower ureteral stones application.Methods: Analysis of cases of lower ureteral stones 150 cases, are treated as two-dimensional ultrasound and real-time three-dimensional ultrasound diagnosis, X-ray urography, CT, surgery to take stone, gravel, drug row of results as the Standard.Results: Lower Ureteral calculi by real-time three-dimensional ultrasound-dimensional imaging rate of 90.7% (136/150); the renal pelvis lfuid in the consolidated cases, the two methods was no signiifcant difference between them (P>0.05); when no renal pelvic lfuid circumstances, the two methods were signiifcantly different (P<0.05), real-time three-dimensional ultrasound diagnosis rate more than of two-dimensional ultrasound; overal signiifcant difference between the two methods (P<0.05), real-time three-dimensional Ultrasound accuracy rate than the two-dimensional ultrasound is higher, fewer missed.Conclusion: The real-time three-dimensional ultrasound diagnosis of lower ureteral stones than being two-dimensional ultrasound with high accuracy, with an intuitive, three-dimensional sense of strong characteristics, application volume storage effects, combining more than one aspect of options to assist the diagnosis of dififcult cases, to reduce the misdiagnosis of Lower Ureteral calculi practical value.
