【摘要】目的:分析输尿管结石伴肾周积液的超声表现并讨论其病理基础。方法:对12例急性肾绞痛患者超声发现肾周积液患者进行回顾性分析。结果:①输尿管结石合并肾周积液患者其积液程度与结石大小、肾绞痛程度无明显相关性;②肾周积液多分布于患肾上下极;③经抗炎、对症或输尿管镜等综合治疗,症状缓解或治愈,积液于2～4日后消失。结论:超声检查能及时发现输尿管结石急性梗阻伴肾周积液,对临床诊治具有重要的实际意义。

    【关键词】超声检查;肾积水;肾周积液

    The value of trails-abdominal sonography in diagnosis ureter's lithiasis with perinephric effusion

    GAN Lun-sheng YAN Ke ZHANG Ding-qiang CHEN Si-hua

    【Abstract】Objective: To analyse the ulrasonic appearances and pathological base of perinephric effusion with ureter's lithiasis. Methods: Reviewed and analyzed the ulrasonic appearances of 12 patients with perinephric effusion. Results: 1, among these patients with ureter's lithiasis with perinephric effusion, there is no significant relation between the extent of effusion and lithiasis and renal colic; 2, perinephric effusion almost distributes in upper and lower pole of kindey; 3, the symptom is relieved and cured after the synthesized treatment of Anti-inflammation, heteropathy or ureteroscope, and will disappear after 2-4 days' effusion. Conclusion:Ultrasonography could timely discover ureter's lithiasis with its acute obstruction and perinephric effusion, and provides important practical significance to clinical diagnosis and cure. ......