Koratala Abhilash, Bhattacharya Deepti, Kazory Amir
Division of Nephrology, Hypertension and Renal Transplantation, University of Florida, Gainesville, FL 32610-0224, United States.
World J Nephrol. 2019 Jun 28;8(3):44-58. doi: 10.5527/wjn.v8.i3.44.
The application of bedside ultrasonography in routine clinical practice has dramatically evolved over the last few decades and will likely continue to grow as technological advances lead to enhanced portability and affordability of the equipment. Despite mounting interest, most nephrology fellowship training programs do not offer formal training in renal ultrasonography and there is inertia among practicing nephrologists to adopt this skill as a practice-changing advancement. Lack of familiarity with the topic is considered a key reason for this inertia. Understanding of basic ultrasound physics, instrumentation, principles of optimal image acquisition and interpretation is critical for enhanced efficiency and patient safety while using this tool. Herein, we provide a brief overview of the basic principles of diagnostic renal ultrasonography as well as introduction to common sonographic pathologies encountered in day-to-day nephrology practice with illustrative images.
在过去几十年中，床旁超声检查在常规临床实践中的应用有了显著发展，随着技术进步使设备的便携性和可承受性提高，这种应用可能还会继续增长。尽管兴趣日益浓厚，但大多数肾脏病学 fellowship 培训项目并未提供肾脏超声检查的正规培训，而且执业肾脏病医生在将这项技能作为改变临床实践的进步来采用方面存在惰性。对该主题缺乏熟悉度被认为是这种惰性的关键原因。在使用这一工具时，了解基本超声物理学、仪器设备、最佳图像采集和解读原则对于提高效率和患者安全至关重要。在此，我们简要概述诊断性肾脏超声检查的基本原理，并通过示例图像介绍日常肾脏病学实践中常见的超声病理情况。
