الفهرس 
Materials and methodsOnly 14 pages are availabe for public view
 |  | from | 177 |  |  |
| | | from | 177 | | |
Abstract
142
Summary
summARY
This study includes 102 patients complaining of renal pain, they are
subjected to ultrasound examination, and an initial diagnosis was obtained. Other investigations were also done to confirm the initial diagnosis of the ultrasound. The type of investigations done to each patient differ from one to another, depending on the type of pathology and the general condition of the patient. For example, patient with impaired renal function were not introduced to I.V.U. study. The confirmatory studies included in this study were K.U.B., I.V.U., C.T., retrograde, antegrade, renal angiography, radioactive isotopes and operative findings.
These data were collected to reach definite confirmatory diagnosis to be compared with the initial ultrasound diagnosis. Other laboratory investigation were also conducted to assess the general condition of the patient for the type of confirmatory studies he can go through and also to help in the definite diagnosis of the patient. However, in most patients complaining of renal pain there was calculi (51 patients 34 have renal calculi, 17 have ureteral calculi) with two false positive patients of renal calculi and two false negative of ureteral calculi when initial diagnosis by ultrasound was done. Moreover, 17 patients were free without false negative or false positive results when compared with the confirmatory studies.
However, 43 patients have miscellaneous diseases and nine of them were associated with calculi. These miscellaneous diseases were pyelonephritis, either chronic or acute, pyonephrosis, abscess, cyst, foreign
Summary 143
bodies, mobile kidney, ectopic kidney and lower urinary tract lesions (S.E.P, bladder mass ... etc.).
Conclusion :
from this study we can conclude that ultrasound is the investigation of choice in initial diagnosis of the cause of renal pain and it has the advantage that it is not costy procedure, moreover it can be applied to patient contraindicated to other studies, as in pregnant patients uremic patients and patients with poor general conditions.
As regards to its efficiency, it succeeded in detecting 85 positive cases out of 102 in the study and could diagnose causes not only in the upper urinary tract but also in the lower (cancer and stone bladder), it
could even diagnose causes outside the tract (hypertrophy & fibroid of uterus).