彭钰迪?陈楚义

    【摘要】 近年尿路结石的发病率在过去的时间里不断上升，治疗方式也在不断迭代更新。当下微创治疗已成为一种趋势，主要包括体外冲击波碎石术、输尿管支架管置入术、输尿管镜碎石取石术等。非对比CT(NCCT) 作为临床上外科疾病常用的无创诊断技术，对识别尿路结石具有高特异度和灵敏度。除明确诊断外，目前利用测量输尿管壁厚度(UWT)预测输尿管结石治疗方案的匹配程度及其预后情况备受关注。现有研究提示UWT对输尿管结石嵌顿及治疗方案的疗效具有预测意义，但大部分局限于UWT对单一治疗方式的预测。笔者结合近年UWT相关研究进行综述，为输尿管结石嵌顿预测及临床治疗方案的选择提供参考。

    【关键词】 输尿管壁厚度；输尿管结石；嵌顿；诊治；预测

    Research progress in ureteral wall thickness in diagnosis and treatment of ureteral calculi under NCCT Peng Yudi△， Chen Chuyi. △Guangdong Medical University， Zhanjiang 524023， China

    Corresponding author， Chen Chuyi， E-mail： 53412547@qq.com

    【Abstract】 Recently， the incidence of ureteral calculi has been increased， and the treatment methods have been constantly updated. Nowadays， minimally invasive treatment has become a trend， mainly including extracorporeal shockwave lithotripsy (ESWL)， ureteroscopic lithotripsy (URL)， percutaneous nephrolithotripsis (PCNL) and laparoscopic lithotripsis. Noncontrast computed tomography (NCCT)， as a common noninvasive diagnostic technique for clinical surgical diseases， has high specificity and sensitivity for the identification of ureteral calculi. In addition to definite diagnosis ......