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目的:探讨超声检查在输尿管内支架术前后的临床应用价值。方法:选取2014年3月到2015年8月我院收治的80例上尿路梗阻肾积水患者作为研究对象。所有患者均行双J管置入术治疗。术前使用超声检查患者输尿管、梗阻状况,术后再次使用超声检查患者置管、梗阻、肾积水等状况。结果:超声检查诊断准确率为95.0%。58例患者使用开放手术置管,置管成功率为100.0%,1例(1.7%)患者术后出现尿漏症状。22例患者在输尿管镜辅助下进行双J管置入,置管成功率为100.0%,术后经超声检查,1例(4.5%)患者内支架管脱出。术后对所有患者进行超声检查,治疗总有效率为100.0%。结论:输尿管内支架术前后使用超声检查,对患者病症诊断准确率高,操作简单、安全,能及时观测患者治疗效果,值得推广。
Objective: To investigate the clinical value of ultrasonography before and after ureteral stenting. Methods: Eighty patients with upper urinary tract obstruction and hydronephrosis treated in our hospital from March 2014 to August 2015 were selected as the research object. All patients underwent double J tube implantation. Preoperative use of ultrasound in patients with ureteral obstruction, postoperative re-use of ultrasound catheterization, obstruction, hydronephrosis and other conditions. Results: The diagnostic accuracy of ultrasonic examination was 95.0%. Fifty-eight patients underwent open surgery. The success rate of catheterization was 100.0%. One patient (1.7%) had postoperative urine leakage symptoms. Twenty-two patients underwent double J tube assisted ureteroscopy. The success rate of catheterization was 100.0%. Ultrasound examination and 1 case (4.5%) of patients underwent stent grafting. All patients underwent ultrasound examination, the total effective rate was 100.0%. Conclusion: Ureteroscopy using ultrasound before and after the examination, the diagnosis of patients with high accuracy, simple, safe, timely observation of patients with treatment, it is worth promoting.