Palkó A, Kuhn E, Grexa E, Hertelendy A
Department of Radiology, University School of Medicine, Pécs, Hungary.
Rofo. 1990 Nov;153(5):585-90. doi: 10.1055/s-2008-1033443.
Authors analyse the value of intravenous pyelography, ultrasonography, computed tomography, angiography and fine needle aspiration biopsy in the detection, differentiation and staging of renal space-occupying lesions, on the basis of examinations performed in 158 patients, in comparison with results of surgery and/or clinical follow up. Their conclusion is that ultrasonography plays a major role in the detection and differentiation of these lesions, intravenous pyelography is only a complementary method, while computed tomography can provide diagnosis in cases with uncertain ultrasonographic findings. Staging has to be based on computed tomography. The role of angiography and fine needle aspiration biopsy is limited they need to be performed in a few selected cases only.
作者基于对158例患者进行的检查，并与手术结果和/或临床随访结果相比较，分析了静脉肾盂造影、超声检查、计算机断层扫描、血管造影和细针穿刺活检在肾占位性病变的检测、鉴别和分期中的价值。他们的结论是，超声检查在这些病变的检测和鉴别中起主要作用，静脉肾盂造影只是一种辅助方法，而计算机断层扫描可在超声检查结果不确定的病例中提供诊断。分期必须基于计算机断层扫描。血管造影和细针穿刺活检的作用有限，仅需在少数特定病例中进行。
