肾结石:有没有一种方法能更好地看清它们?

Ivana Šolić, Marijan Šitum
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引用次数: 1

摘要

由肾结石或尿石症引起的肾绞痛是全世界泌尿外科的常见诊断。据预测,13%的男性和7%的女性一生中会得肾结石。结石形成的发生率由种族、地理和气候特征以及遗传因素和饮食决定。肾结石的患病率在1%到20%之间。在克罗地亚斯普利特,大约五分之一的急诊泌尿科就诊是由于急性侧腹疼痛。为了支持临床诊断,需要进行适当的影像学检查,超声与肾-输尿管-膀胱x线和/或CT扫描。x射线成像由于其可获得性和低电离辐射暴露是最常用的技术。遇到的问题是缺乏敏感性和特异性,导致低剂量CT扫描来确认诊断。临床医生将肾-输尿管-膀胱x线图像与更特异、更敏感的CT扫描图像进行比较,提高单纯基于x线的诊断水平,将有很大的帮助。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Kidney Stones: Is There a Way to See Them Better?
Renal colic caused by kidney stone or urolithiasis is common diagnosis in Urology departments worldwide. There are projections that during lifetime 13% of men and 7% of women will get a kidney stone. The incidence of stone formation is determined by ethnicity, geographical and climatic features as well as genetic factors and diet. The prevalence of kidney stones is between 1% and 20%. Approximately, every fifth visit to emergency Urology department in Split, Croatia is a result of acute flank pain. To support the clinical diagnosis appropriate imaging is performed, ultrasound with kidney-ureter-bladder X-ray and/or CT scan. X-ray imaging is most used technique because of its' availability and low ionizing radiation exposure. The problem encountered is lack of sensitivity and specificity what leads to low dose CT scans to confirm the diagnosis. It would be of great help for clinicians to compare images of kidney-ureter-bladder X-ray images to more specific and sensitive CT scans to improve the diagnosis based on X-ray only.
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