目的探讨CT联合腹部超声在输 尿管中下段结石患者中操作技巧及其效 果。方法 选取2013年4月至2014年4月我 院收治的496例输尿管中下段结石患者资 料进行分析，入选患者均给予CT和腹部 超声检查，检查时做好患者吸气、收腹、 重压以及交替探测等操作，分析CT联合腹 部超声检查时的操作方法及其临床效果。 结果 入选的496例中488例为单侧输尿管 结石，占98%，8例患者为双侧输尿管结 石，占2.0%。患者中，318例中断输尿管 结石，占64%，176例下段输尿管结石，占 36%；496例患者460例轻度积水，8例中度 积水，6例重度积水，22例无积水。患者 中，46例结石直径>10mm，130例5mm<直径 <10mm，320例<5mm，350例结石直径在4mm 以上。患者检查过程中3例出现并发症， 占1.6%。结论 输尿管中下段结石患者采 用CT联合腹部超声检查效果理想，该方法 操作简单、方便，患者诊断时应该注意操 作技巧，提高检查效果。

Objective To investigate the operation skills and its effect of CT in combined

with ultrasound in patients with ureteral stones in the middle and lower section. Methods

The patient data from April 2013 to April 2014 in our hospital 496 cases of middle and

lower ureteral calculi were analyzed, selected patients were given CT and ultrasound, do

check the patient inhales, abdomen, weight as well as methods of operation and its clinical

effect alternately detect other operations, joint analysis of CT examination of abdominal

ultrasound. Results 496 cases enrolled in 488 cases of unilateral ureteral stones, 98%, 8

patients with bilateral ureteral stones, representing 2.0%. Patients, 318 cases of ureteral

stones break, accounting for 64%, 176 cases of lower ureteral stones, 36%; 496 cases of

460 cases of patients with mild hydrocephalus, eight cases of moderate hydrocephalus,

six cases of severe hydrocephalus, 22 cases of non-product water. Patients, 46 cases of

stone diameter> 10mm, 130 cases 5mm <diameter <10mm, 320 cases <5mm, 350 cases

stones more than 4mm in diameter. Three cases of patients with the inspection process

complications, accounting for 1.6%. Conclusion Patients with lower ureteral calculi CT

joint section with abdominal ultrasound results are satisfactory, the method is simple,

convenient, patients should pay attention to the operating skills diagnosis, improve the

inspection results.