ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA BỆNH NHÂN SỎI NIỆU QUẢN, ĐỐI CHIẾU VAI TRÒ CỦA XQUANG VÀ SIÊU ÂM VỚI CẮT LỚP VI TÍNH TRONG CHẨN ĐOÁN SỎI NIỆU QUẢN

Abstract

The study was conducted with the aim of describing the clinical and paraclinical characteristics of patients with ureteral stones. This is a cross-sectional study of 148 patients with ureteral stones at the Department of Urology, 108 Central Military Hospital. Results: ureteral stones were more common in men (72%), mainly in the age group of 40-59 years old. 47.5% of patients had clinical manifestations of typical renal colic. The majority of patients had a normal or slightly reduced glomerular filtration rate (73.6%). 88.2% of patients had only 1 ureteral stone. The average stone size was 14 mm. The rate of ureteral stones on the right and left sides was equal, 8.7% of patients had ureteral stones on both sides. The detection rate of ureteral stones by X-ray and ultrasound compared to CT scan was 81.7% and 87.8%, respectively. X-ray and ultrasound have the highest value in detecting stones in the upper third. 36.6% of kidneys had ureteral stones with impaired absorption and excretion on contrast-enhanced CT scan.