- 尿道 - 膀放射还是治疗急性尿道结肠的有用工具吗?
Mohammad Alkarajeh1,2, Faris Abushamma3,2, Mahfouz Ktaifan2
1Department of Nephrology, An-Najah National University Hospital, Nablus, PSE.
Cureus
|September 19, 2025
概括
-尿道-膀 (KUB) 放射是不可靠的诊断急性尿道结肠,可能导致延迟治疗. 然而,KUB与可检测石头的NCCT有很强的相关性,可以用于后续检测.
科学领域:
- 放射学 放射学是一门学科.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗成像医学成像
背景情况:
- 急性尿路结肠 (AUC) 诊断依赖于成像.
- -尿道-膀 (KUB) 放射是传统的成像方式.
- 非对比计算机断层扫描 (NCCT) 被认为是检测尿道结石的黄金标准.
研究的目的:
- 评估KUB放射的可靠性作为AUC的分类工具.
- 为了将KUB的发现与NCCT的结论对石头特征和临床结果进行相关联.
主要方法:
- 在151名尿路结石患者的回顾性队列研究中,通过NCCT确认了结石.
- 盲目审查KUB和NCCT以评估石头位置,直径和密度.
- 使用科恩的卡帕统计学进行方法间可靠性分析.
主要成果:
- 50%的尿路结石患者在NCCT上有负的KUB发现.
- 关于石头位置的KUB和NCCT之间适度一致 (kappa=0.520).
- 对于石头最大直径 (kappa=0.804) 的强一致性,对于密度 (kappa=0.254) 的弱弱一致性.
- 45%的阴性KUB患者需要手术干预,通常是由于败血症或急性损伤.
结论:
- 由于错过诊断和不良结果的可能性,不建议将KUB放射作为AUC的主要分拣工具.
- KUB 放射学在检测KUB可见尿路结石方面表现出强大的可靠性,并且可以在后续成像中有效地利用.
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