Hassanzadeh Rad Afagh, Badeli Hamidreza
Division of Pediatric Nephrology, Pediatrics Growth Disorders Research Center, 17 Shahrivar Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
Iran J Kidney Dis. 2017 Jul;11(4):259-262.
In the past 3 decades, ultrasonography has gifted internal organs visualization to physicians to have a better detection of various diseases. Previously performed solely by radiologists as a method with high feasibility and accuracy, recently ultrasonography is being recommended and used by many other physicians in practice. Ultrasonography not only can be used to diagnose and manage kidney diseases, but also is an essential tool in nephrology for the guidance of invasive procedures. This method of bedside ultrasonography by physicians in real time is called point-of-care ultrasonography (POCUS). Given the limitations of collecting information by routine physical examination in kidney diseases and the simplicity of performing ultrasonography to examine kidney location, architecture, and restricted pathologies, nephrologists that have been lagging in this area, should join the spectrum of clinicians using the POCUS to provide safe and rapid diagnosis of common renal abnormalities. Although physicians may imagine POCUS as a difficult tool to use and there has been an initial resistance and reluctance to use ultrasonography by nonradiologists, investigations have shown that learning and doing POCUS was possible even for undergraduate medical students during a short course. According to the collected evidence in the field of POCUS in different branches of medicine, it seems that it should be added to nephrology examination room in the near future.
在过去30年里,超声检查为医生提供了内部器官的可视化图像,以便更好地检测各种疾病。以前超声检查仅由放射科医生进行,是一种可行性和准确性都很高的方法,而最近许多其他医生在实践中也开始推荐并使用超声检查。超声检查不仅可用于诊断和管理肾脏疾病,也是肾脏病学中指导侵入性操作的重要工具。医生在床边实时进行这种超声检查的方法称为床旁超声检查(POCUS)。鉴于在肾脏疾病中通过常规体格检查收集信息存在局限性,且超声检查用于检查肾脏位置、结构和局限性病变操作简便,一直滞后于这一领域的肾脏病学家应加入使用POCUS的临床医生行列,以便对常见肾脏异常进行安全、快速的诊断。尽管医生可能认为POCUS是一种难以使用的工具,并且非放射科医生最初对使用超声检查存在抵触和不情愿,但调查表明,即使是本科医学生在短期课程中也能够学习并进行POCUS检查。根据在医学不同分支的POCUS领域收集的证据,似乎在不久的将来它应该被添加到肾脏病学检查室中。