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尿石症是泌尿外科的常见疾病,一般诊断不难,可根据病史、体检、尿液化验和X线检查多可获得明确诊断。但有时尿石症的临床表现并不典型,容易和其他疾患混淆。特别是在无泌尿外科设置的基层医院,因未能及时作出诊断而最终导致肾实质毁损者并不少见。我们于1977年7月～1979年10月,共收集误诊的尿石症病例91例,其中肾结石26例,肾及输尿管结石9例,输尿管结石31例,膀胱结石15例,尿道结石10例。这些病例,均经过不同时间的误诊、误治(附表)。现就延误诊断的原因进行分析讨论,旨在从中吸取教训,提高尿石症的诊断水平。
Urolithiasis is a common urological disease, the general diagnosis is not difficult, according to history, physical examination, urine tests and X-ray examination can obtain a clear diagnosis. But sometimes the clinical manifestations of urolithiasis is not typical, easily confused with other disorders. Especially in grassroots hospitals that have no urology setting, it is not uncommon for patients to have physical damage caused by the failure to make timely diagnosis. From July 1977 to October 1979, we collected 91 cases of misdiagnosed urolithiasis, including 26 cases of kidney stones, 9 cases of renal and ureteral stones, 31 cases of ureteral calculi, 15 cases of bladder calculi, 10 cases of urethral calculus . These cases, have been misdiagnosed at different times, mistaken (schedule). Now on the reasons for the delay diagnosis analysis and discussion, aimed at learning from which to improve the diagnosis of urolithiasis.