阿托品在X線診斷輸尿管陰性小結(jié)石中的應用及對比分析.pdf
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阿托品在X 線診斷輸尿管陰性小結(jié)石中
的應用及對比分析
韋章誠, 張昌偉
(攀枝花市中西醫(yī)結(jié)合醫(yī)院, 四川 攀枝花 617000)
【摘要】 目的 探討低張松弛藥物阿托品在大劑量靜脈腎盂造影( int ravenous pyelogrophy, IV P)中輸尿管陰性小
結(jié)石的表現(xiàn)規(guī)律, 提高其診斷價值。方法 100 例中, 按先后順序隨機分為對照組48 例和觀察組52 例, 對照組直接采用
大劑量 IV P, 觀察組肌注阿托品后再行大劑量 IV P, 分別對兩組輸尿管陰性結(jié)石患者陽性率進行診斷對比分析。結(jié)果
對照組中, 診斷陰性結(jié)石19 例, 與臨床排石或手術證實的符合率為39158%; 觀察組中, 診斷陰性結(jié)石38 例, 與臨床診斷
符合率為73. 07% ,兩者差異有統(tǒng)計學意義(V
2
= 111424, P = 01001)。結(jié)論 運用阿托品后, 結(jié)合臨床表現(xiàn), 仔細分析影
像學改變, 大劑量 IV P 對輸尿管陰性小結(jié)石可做出準確診斷或提示性診斷, 提高了X 線檢查的陽性率。
【關鍵詞】 輸尿管陰性結(jié)石; 靜脈腎盂造影; 阿托品; 對比分析
【中圖分類號】 R81617 【文獻標識碼】 A 【文章編號】 167223511 (2006) 0420496202
Appl ica t ion of a trop ine in sma ll nega t ive uretera l ca lcul i detected
by in travenous pyelogrophy
WEI Zhang-cheng, ZHANG Chang-we i
(D ep artm ent of R ad iology , Ch inese and W estern M ed ical H osp ital of P anz h ihua, P anz h ihua S ichuan 617000, Ch ina)
Abstract Object ive To evaluate the value of at rop ine in diagno sis of small negat ive ureteral calculi by means of
large do se of int ravenous pyelography ( IV P). Methods 100 pat ients w ho had been clinically def init ized w ith negat ive
ureteral calculiw ere divided into two group s at random, in w hom 48 cases used IV P direct ly, and the o thers did it befo re
int ramuscular inject ion of at rop ine . The different X2ray signs and po sit ive f inding rate w ere comparat ively analysed .
Results 73. 07% (38? 52) cases w ith at rop ine adm inist rat ion w ere diagno sed having negat ive calculi by their special X2
ray signs and the results w ere co incident to clinical results o r operat ive f indings . How ever in the cont ro l group, only
39158% (19? 48) cases w ere ident icalw ith clinical o r operat ive f indings . Therew as signif icant difference in the detect ion
rate betw een the two group s (V
2
= 14. 69, P < 0. 05). Conclus ion IV P w ith at rop ine inject ion is an ideal method to
diagno se small negat ive ureteral calculi because it can raise detect ion rate and accurate rate of diagno sis .
【Key words】 N egat ive ureteral calculi ; Int ravenous pyelography; A t rop ine; Cont rast analysis
輸尿管結(jié)石是泌尿系最常見的疾病之一, 它是由
上部尿路結(jié)石下行而來 ......
的應用及對比分析
韋章誠, 張昌偉
(攀枝花市中西醫(yī)結(jié)合醫(yī)院, 四川 攀枝花 617000)
【摘要】 目的 探討低張松弛藥物阿托品在大劑量靜脈腎盂造影( int ravenous pyelogrophy, IV P)中輸尿管陰性小
結(jié)石的表現(xiàn)規(guī)律, 提高其診斷價值。方法 100 例中, 按先后順序隨機分為對照組48 例和觀察組52 例, 對照組直接采用
大劑量 IV P, 觀察組肌注阿托品后再行大劑量 IV P, 分別對兩組輸尿管陰性結(jié)石患者陽性率進行診斷對比分析。結(jié)果
對照組中, 診斷陰性結(jié)石19 例, 與臨床排石或手術證實的符合率為39158%; 觀察組中, 診斷陰性結(jié)石38 例, 與臨床診斷
符合率為73. 07% ,兩者差異有統(tǒng)計學意義(V
2
= 111424, P = 01001)。結(jié)論 運用阿托品后, 結(jié)合臨床表現(xiàn), 仔細分析影
像學改變, 大劑量 IV P 對輸尿管陰性小結(jié)石可做出準確診斷或提示性診斷, 提高了X 線檢查的陽性率。
【關鍵詞】 輸尿管陰性結(jié)石; 靜脈腎盂造影; 阿托品; 對比分析
【中圖分類號】 R81617 【文獻標識碼】 A 【文章編號】 167223511 (2006) 0420496202
Appl ica t ion of a trop ine in sma ll nega t ive uretera l ca lcul i detected
by in travenous pyelogrophy
WEI Zhang-cheng, ZHANG Chang-we i
(D ep artm ent of R ad iology , Ch inese and W estern M ed ical H osp ital of P anz h ihua, P anz h ihua S ichuan 617000, Ch ina)
Abstract Object ive To evaluate the value of at rop ine in diagno sis of small negat ive ureteral calculi by means of
large do se of int ravenous pyelography ( IV P). Methods 100 pat ients w ho had been clinically def init ized w ith negat ive
ureteral calculiw ere divided into two group s at random, in w hom 48 cases used IV P direct ly, and the o thers did it befo re
int ramuscular inject ion of at rop ine . The different X2ray signs and po sit ive f inding rate w ere comparat ively analysed .
Results 73. 07% (38? 52) cases w ith at rop ine adm inist rat ion w ere diagno sed having negat ive calculi by their special X2
ray signs and the results w ere co incident to clinical results o r operat ive f indings . How ever in the cont ro l group, only
39158% (19? 48) cases w ere ident icalw ith clinical o r operat ive f indings . Therew as signif icant difference in the detect ion
rate betw een the two group s (V
2
= 14. 69, P < 0. 05). Conclus ion IV P w ith at rop ine inject ion is an ideal method to
diagno se small negat ive ureteral calculi because it can raise detect ion rate and accurate rate of diagno sis .
【Key words】 N egat ive ureteral calculi ; Int ravenous pyelography; A t rop ine; Cont rast analysis
輸尿管結(jié)石是泌尿系最常見的疾病之一, 它是由
上部尿路結(jié)石下行而來 ......
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