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首页> 外文期刊>International Urology and Nephrology >A urologic stethoscope? Urologist performed sonography using a pocket-size ultrasound device in the point-of-care setting
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A urologic stethoscope? Urologist performed sonography using a pocket-size ultrasound device in the point-of-care setting

机译：泌尿科听诊器？ 泌尿科医生在护理点设置中使用口袋尺寸超声装置进行超声检查

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Abstract Purpose Ultrasound is commonly used in urology. Technical advances with reduced size and cost led to diffusion of small ultrasound devices to many clinical settings. Even so, most ultrasound studies are performed by non-urologists. We aimed to evaluate the utility of a pocket-size ultrasound device (Vscan? GE Healthcare) and the quality of urologist performed study. Methods Three consecutive studies were performed: (1) a urologist using the pocket ultrasound, (2) a sonographist using the pocket ultrasound, and (3) a sonographist using a standard ultrasound device. Thirty-six patients were evaluated with a basic urologic ultrasound study. An excepted deviation between studies was preset for numeric parameters and t test performed. Ordinal parameters were analyzed using Cohen’s kappa coefficient. Results Kidney length, renal pelvis length, renal cyst diameter, post-void residual and prostate volume (transabdominal) differences were found to be insignificant when comparing a urologist pocket ultrasound study to a sonographist standard ultrasound study ( P ?=?0.15; P ?=?0.21; P ?=?0.81; P ?=?0.32; P ?=?0.07, respectively). Hydronpehrosis evaluation (none, mild, moderate and severe) and the presence of ureteral jet signs conferred a high inter-observer agreement when comparing the above studies using the Cohen’s kappa coefficient ( K ?=?0.63; K ?=?0.62, respectively). Conclusions Urologist performed pocket ultrasound study is valid in evaluating the upper and lower urinary tract and is practical in many clinical scenarios. The urologic stethoscope is now becoming a reality within reach.
机译：摘要目的超声常用于泌尿外科。尺寸减小和成本的技术进步导致小超声装置扩散到许多临床环境中。即便如此，大多数超声研究都是由非泌尿科医生进行的。我们的旨在评估口袋大小超声装置（Vscan？GE Healthcare）的效用和泌尿科医师进行研究。方法进行三项连续研究：（1）使用Pocket超声波的泌尿科医生使用Pocket超声波的超声波专家，以及使用标准超声装置的超声波专家。用基本的泌尿科超声研究评估了三十六名患者。对研究之间的绝佳偏差预设了数字参数和T测试。使用Cohen的Kappa系数分析序数参数。结果肾小长，肾骨盆长度，肾胆管直径，尿液后残留和前列腺体积（跨腹部）差异在比较泌尿科医生口袋超声研究对超声波医学标准超声研究时（P？= 0.15; P？ =？0.21; p？= 0.81; p？= 0.32; p？= 0.07）。在使用COHEN的Kappa系数（K = 0.63; k？= 0.62分别）时，在比较上述研究时，水肺抗性评估（无，温和，中度和严重）和输尿管喷射标志的存在赋予了高观察员协议。结论泌尿科医生表演口袋超声研究在评估上下泌尿道方面是有效的，并且在许多临床情景中是实用的。泌尿科听诊器现在成为达到的现实。

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