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目的:探讨急诊超声在急性肾盂肾炎(APN)诊断中的价值。方法:选择临床拟诊APN 243例,均由高年资超声科医师在床边进行泌尿系统急诊超声检查,重点观察不同类型APN的超声异常表现,并比较复杂性APN和非复杂性APN的差异。结果:本组病例急诊超声检查发现异常96例,占39.5%;其中显著异常63例,包括鹿角状结石、肾周积气、中重度肾积水或脓肿等。复杂APN 87例,非复杂APN 156例;复杂APN存在异常72例(72/87,82.8%),非复杂APN急诊超声存在异常24例(24/156,15.4%);相关影响因素包括年龄、性别、肾结石病史、使用导管或输尿管支架、血肌酐水平、住院时间、影像学表现异常、血培养阳性等。结论:急诊超声检查对APN的诊断价值较高。
Objective: To investigate the value of emergency ultrasound in the diagnosis of acute pyelonephritis (APN). Methods: A total of 243 cases of APN were selected for clinical trial. All of them were diagnosed as emergency urinary system ultrasound by the senior sonographers at the bed. The abnormalities of APN in different types were observed. The differences of complex APN and non-complex APN were compared . Results: There were 96 cases (39.5%) of them were diagnosed by emergency ultrasonography in this group of patients. Among them, 63 cases were abnormal, including antlers, stagnation of kidney, moderate or severe hydronephrosis or abscess. There were 87 cases of complicated APN and 156 cases of non-complicated APN. There were 72 cases (72/87, 82.8%) with complicated APN and 24 cases (24/156, 15.4%) with abnormal APN. The related factors included age, Gender, history of nephrolithiasis, catheterization or ureteral stenting, serum creatinine, length of hospital stay, abnormal imaging findings, positive blood culture, and the like. Conclusion: The diagnostic value of emergency ultrasonography for APN is high.