|本期目录/Table of Contents|

[1]陈光勇,曹江晨,林雨冬,等.泌尿系结石超声测量值的准确性及其影响因素探究[J].医学研究与战创伤救治(原医学研究生学报),2012,14(01):29-31.
　CHEN Guang-yong,CAO Jiang-chen,LIN Yu-dong,et al.Study on accuracy of measurement and the influential factors with Ultrasound measure urinary tract calculi[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2012,14(01):29-31.
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泌尿系结石超声测量值的准确性及其影响因素探究()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第14卷
期数:
2012年01期
页码:
29-31
栏目:
出版日期:
2012-01-20

文章信息/Info

Title:
Study on accuracy of measurement and the influential factors with Ultrasound measure urinary tract calculi
文章编号:
1672-271X(2012)01-0029-03
作者:
陈光勇1; 曹江晨2; 林雨冬3; 黄 维1; 郑向东4
351100 福建莆田，南京军区福州总医院95临床部，1.超声科，3.外科，4.放射科；2.214063 江苏无锡，解放军73801部队门诊部
Author(s):
CHEN Guang-yong1; CAO Jiang-chen2; LIN Yu-dong3; HUANG Wei1; ZHENG Xiang-dong4.
1.Department of Ultrasound,3.Department of Surgery,4.Department of Rodiology,95 Clinical Department,Fuzhou General Hospital of Nanjing Military Command,PLA,Putian,FuJian 351100,China；2.Outpatient Department of 73801 Troops,PLA,Wuxi,Jiangsu 214063,China
关键词:
尿结石; 超声; 测量差值
Keywords:
urinary calculi;  ultrasound;  difference of measurement
分类号:
R445.1
DOI:
-
文献标志码:
A
摘要:
目的 探讨超声在泌尿系结石诊断中对结石大小测量的准确性及其影响测量的相关因素。方法 采用超声测量和CT测量肾、输尿管结石的最大长径，以CT测量值为标准，对两组测值及其差值进行统计学分析，同时就皮肤-结石距离、患者体重指数及结石位置与差值进行相关分析。结果 泌尿系结石的平均长径超声测值(9.48±3.63)mm，均大于CT测值(8.44±3.90)mm(P＜0.01)；其中＜5 mm组差值较5～10 mm组及5～10 mm组差值均大(P＜0.05)；而5～10 mm组与＞10 mm组差值的差别无统计学意义(P＞0.05)；＜5mm组与＞5 mm组结石超声与CT测值一致率分别为38.9%、93.5%；所有结石测量差值与皮肤-结石距离相关呈正相关性(r=0.904,P＜0.01)。结论 超声测量高估了泌尿系结石的长径，＜5 mm的结石者更为明显；超声测量的准确性与结石-皮肤间的距离有关。
Abstract:
Objective To evaluate the accuracy of measurement and it’s influential factors in the diagnosis of urinary tract calculi with Ultrasound.Methods All patients were undergoing abdominal Ultrasound and abdominal non-enhanced helical CT to measure the largest length of renal calculi and ureteral calculi.Abdominal CT measurement was used to the gold standard,and these data were analyzed by statistics.And analyzed statistical relevant about skin-to-stone distance and BMI and stones’ location with difference of measurement.Results The mean measurement on Ultrasound [(9.48±3.63)mm] were greater than CT [(8.44±3.90)mm](P＜0.01).There were statistical significant between group ＜5 mm and group 5-10mm or group＞10 mm (P＜0.05),but there was no statistical significant between group 5~10mm and group＞10 mm (P＞0.05);The uniform rate of Ultrasound and CT measurement for ＜5 mm and＞5 mm is 38.9%,95.2%,respectively.There was a statistical relevant between difference of measurement and Skin-to-stone distance (r=0.904,P＜0.01).The difference of measurement with BMI and stones’ location were no statistical relevant (P＞0.05).Conclusion The size of urinary tract calculi were overestimated by Ultrasound,that is obviously for stones ＜5 mm.There have relationship between accuracy of measurement on ultrasound and Skin-to-stone distance,but no relationship with BMI or stones’ location.

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备注/Memo

备注/Memo:
南京军区医学科技创新课题(07M100)
更新日期/Last Update: 2012-01-20