초음파 검사 상 요로결석이 자주 관찰되나요?Urinary Calculi Frequently Detected on Ultrasonography?
- Other Titles
- Urinary Calculi Frequently Detected on Ultrasonography?
- Authors
- 조영석; 원태영; 연제호; 강보승
- Issue Date
- Feb-2007
- Publisher
- 대한응급의학회
- Keywords
- Urinary Calculi; Ultrasonography; Urinary Calculi; Ultrasonography
- Citation
- 대한응급의학회지, v.18, no.1, pp.56 - 63
- Indexed
- KCI
- Journal Title
- 대한응급의학회지
- Volume
- 18
- Number
- 1
- Start Page
- 56
- End Page
- 63
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/180438
- ISSN
- 1226-4334
- Abstract
- PURPOSE:
Transabdominal sonography has been widely used in the diagnosis of suspected urinary calculi, assisted by secondary findings from urinary tract obstruction, but this method shows low specificity and relatively high incidence of false-positives. Recently, detection of stone itself with new Doppler finding and bladder distension on sonography has demonstrated high sensitivity.
METHODS:
We performed prospective transabdominal ultrasonography for emergency department patients with acute urinary colic pain over a 3 month period. With adequate bladder distension by intravenous hydration and initial spontaneous voiding drive, stones itself could be tracked along the entire length of urinary tract by emergency physician who received short-term education course.
RESULTS:
One hundred and thirty one patients enrolled; 86 received a sonographic exam and 57 showed urinary calculi. The detection rate of urinary calculi was 71.3%. The most common sonographic feature used in the diagnosis of urinary calculi was a distinct echogenic stone appearance within the dilated urinary tract with posterior acoustic shadowing.
CONCLUSION:
We concluded that detection of urinary calculi by transabdominal ultrasonography could be very useful in mbination with secondary sonographic finding from urinary tract obstruction in the evaluation of suspected urinary colic.
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