RU1784225C - Method for diagnosing ureterolithiasis - Google Patents

Abstract

The invention relates to the field of medicine, and in particular to methods of medical examination in urology. The purpose of the invention is to determine the localization of the stone by the location of the spot and when it is located on the right iris in sector 4..00, a stone is diagnosed in the lower third of the right ureter, in sector 5.01 - 5.20 - in the middle third, in sector 5. G - 5.30 - in the upper third, and when the spot is located on the left iris in the sector 6.30 - 6.40, a stone is diagnosed in the upper third of the left ureter, in the sector 7.01 - 7.15 - in the lower third, in the sector 6.41 - 7.00 - in the middle third. The method allows a more accurate diagnosis of the presence and location of ureteral stones. 2 ill.

Description

The invention relates to the field of medicine, and in particular to methods of medical examination in urology.

A known diagnostic method is excretory urography. applicable in the diagnosis of ureteral stones. At the position of the clinostasis of the subject, a contrast agent is injected into his blood, which is transferred to the collecting system of the kidney and excreted through the urinary tract, at this point pictures are taken that show changes in the urinary tract.

This diagnostic method does not always allow the diagnosis of ureteral stones with sufficient accuracy due to possibly poor contrast of the urinary tract, lack of function and other reasons, and therefore additional x-ray studies are required.

A known method for the diagnosis of ureteral stones, including examining the iris of the eye, in which the projection area in the sector 5.30 6.30 of the right and left eye is examined, and when a pigment spot is detected, the presence of stones in the ureter is determined.

The possibilities of this method are limited, because the method does not allow to determine the location of the stones in the ureter, which determines the tactics of the urea.

The purpose of the invention is to determine the location of the stones in the ureter,

This goal is achieved due to the fact that with the method for the diagnosis of ureteral stones, including the study of the iris, in which the projection zone in sector 5 is examined. 6.30 the right and left eyes and when a pigment spot is detected, the presence of stones in the ureter is diagnosed, the location of it is in the projection zone, which runs along a straight line between the border of the upper and middle third of the ciliary line at 5.30 and the middle of the lower third of the ciliary line at 4.45 of the right eye and between the border of the upper and

With

with

3

-N Yu N) 01

middle third of the ciliary. at the level of 6.30 and the middle of the lower third of the ciliary line at the level of 7.15 of the left eye, while the spot on the right side in sector 5..00 corresponds to the location of the stones in the lower third of the right ureter, in sector 5. .20 - the stone located in the middle third of the right ureter, in sector 5.2T-5.30 - the upper third of the right ureter, and the spot on the left iris in sector 6..40N corresponds to the location of the stones in the upper third of the left ureter, in sector 6.41 -7.00 - in the middle third of the left ureter, in the sector 7..15 - in the lower third the left ureter.

In FIG. 1 schematically shows the iris of the right eye; in FIG. 2 - the same, of the left eye, where marked: ciliary with 1, the upper third of the ureter 2, the middle third of the ureter 3, the lower third of the ureter 4.

The method is carried out as follows.

The patient is placed opposite the doctor, installing a slit lamp between them (for example, ЩЛ-56) so that the line of sight connects the doctor’s eyes through the slit lamp to the patient’s eye. For examining the iris, the magnification regulator is set to division 1, which corresponds to the normal size of the eye for general inspection of the iris. Then, the magnification control is switched to a division of 1.6 for a detailed study of its individual sections, the control knob of the incandescent lamp switch is displayed on a third degree indicator. Examine the iris in the sector 4..30 of the right eye along a straight line passing between the border of the upper and middle third of the ciliary zone at the level of 5.30 and the middle of the lower third of the ciliary zone at the level of 4.45 of the right eye and between the border of the upper and middle third ciliary lesion at a level of 6.30 and the middle of the lower third of the ciliary lesion at a level of 7.15 of the left eye.

If a pigment spot is found on the right iris in the sector 4.45 - 5.00, the diagnosis is made: a stone of the lower third of the right ureter; in sector 5. 5.20 - a stone of the middle third of the right ureter; in sector 5.21-5.30 - the stone of the upper third of the right ureter.

If pigmentation spots are found on the left iris in sector 6..40, the diagnosis is made: stone of the upper third of the left ureter; in sector 6..00 - a stone of the middle third of the left ureter;

in the sector 7.01 - 7.15 - the stone of the lower third of the left ureter.

PRI me R 1, Patient V., 37 years old, complains of paroxysmal pain in the lumbar region on the right for 3 days. No other complaints.

The examination of the iris of the right eye in sector 4..30 was carried out according to the method for diagnosing ureteral stones. A pigmented spot was found in sector 5..20, which indicates the presence of stones in the upper third of the right ureter. In the overview picture on the right in the projection of the ureter are multiple shadows. On the excretory urogram in the upper third of the ureter - a stone of 0,, 4 cm,

PRI me R 2. Patient D., 40 years old, complains of paroxysmal pain in the right lumbar region, radiating to the abdomen, during the day, no other complaints.

The examination of the iris of the right eye in sector 4.ector was performed according to the method for diagnosing ureteral stones. A pigmented spot was found in the 5..00 sector, indicating the presence of stones in the middle third of the right ureter. Using a photograph of the kidneys in excretory urography in the middle third of the right ureter, a stone of 0.2 0.3 cm was found, confirming the previously established diagnosis.

PRI me R 3. Patient S., 36 years old, complains of severe paroxysmal pain in the left lumbar region, giving in the lower abdomen, frequent urination.

The examination of the iris of the left eye in the sector 6.30-7.15 was performed according to the method for diagnosing ureteral stones described above. A pigmented spot was found in sector 7..15, indicating the presence of stones in the lower third of the left ureter. The produced excretory urography confirmed the presence of stones in the lower third of the left ureter by expanding it to the lower third, where there is a stone (0.3 0.5 cm).

Compared with the prototype, the proposed method allows the diagnosis of ureteral stones based on their location.

Claims (1)

The claims A method for diagnosing ureteral stones by examining the iris of the eye and detecting a pigment spot in the sectors of the right and left eye, characterized in that, in order to determine the location of the stones, a spot is found in a straight line between the border of the upper and middle third of the ciliary band at the level 5.30 and the middle of the lower third of the ciliary at the level of 4.45 of the right eye or between the border of the upper and middle third of the ciliary zone at the level of 6.30 and the middle of the lower third of the ciliary zone at the level of 7.15 of the left eye and if a spot is found on the right in sector 4.45 -5.00, the stone of the right ureter the lower third, in the sector 5.01 -5.20 - the middle third, in the sector 5.21 -5.30 - the upper third, and if a spot is found on the left in the sector 6.30-6.40, the stone of the left ureter of the upper third is diagnosed, in sector 6.41 -7.15 - its lower third. & FIG. 1. 4.4S 1 7. /: 7.00 B.h 6.30 6.00 FIG. 2.