NCCT下输尿管壁厚度在输尿管结石诊疗中的研究进展
彭钰迪?陈楚义【摘要】 近年尿路结石的发病率在过去的时间里不断上升,治疗方式也在不断迭代更新。当下微创治疗已成为一种趋势,主要包括体外冲击波碎石术、输尿管支架管置入术、输尿管镜碎石取石术等。非对比CT(NCCT) 作为临床上外科疾病常用的无创诊断技术,对识别尿路结石具有高特异度和灵敏度。除明确诊断外,目前利用测量输尿管壁厚度(UWT)预测输尿管结石治疗方案的匹配程度及其预后情况备受关注。现有研究提示UWT对输尿管结石嵌顿及治疗方案的疗效具有预测意义,但大部分局限于UWT对单一治疗方式的预测。笔者结合近年UWT相关研究进行综述,为输尿管结石嵌顿预测及临床治疗方案的选择提供参考。
【关键词】 输尿管壁厚度;输尿管结石;嵌顿;诊治;预测
Research progress in ureteral wall thickness in diagnosis and treatment of ureteral calculi under NCCT Peng Yudi△, Chen Chuyi. △Guangdong Medical University, Zhanjiang 524023, China
Corresponding author, Chen Chuyi, E-mail: 53412547@qq.com
【Abstract】 Recently, the incidence of ureteral calculi has been increased, and the treatment methods have been constantly updated. Nowadays, minimally invasive treatment has become a trend, mainly including extracorporeal shockwave lithotripsy (ESWL), ureteroscopic lithotripsy (URL), percutaneous nephrolithotripsis (PCNL) and laparoscopic lithotripsis. Noncontrast computed tomography (NCCT), as a common noninvasive diagnostic technique for clinical surgical diseases, has high specificity and sensitivity for the identification of ureteral calculi. In addition to definite diagnosis ......
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