Marshall F F, Holdford S S, Hamper U M
James Buchanan Brady Urological Institute, Johns Hopkins Medical Institutions, Baltimore, Maryland.
J Urol. 1992 Nov;148(5):1393-6. doi: 10.1016/s0022-5347(17)36919-7.
Intraoperative sonography (7.5 MHz. transducer with Doppler probe) was used to evaluate renal masses in 41 kidneys to determine its correlation with pathological findings. This intraoperative determination of the extent of the renal lesion prompted occasional changes in surgical management. We conclude that intraoperative sonography is most useful in partial nephrectomy, and helps to determine the extent of tumor, multicentricity, venous extension and associated cysts. These findings may not be appreciated with intraoperative, visual inspection of the kidney.
术中超声检查（采用带有多普勒探头的7.5兆赫换能器）用于评估41个肾脏中的肾肿块，以确定其与病理结果的相关性。术中对肾脏病变范围的确定偶尔会促使手术管理发生改变。我们得出结论，术中超声检查在部分肾切除术中最有用，有助于确定肿瘤范围、多中心性、静脉延伸及相关囊肿。通过术中对肾脏的视觉检查可能无法发现这些情况。
