Durante E
Minerva Med. 1977 Nov 10;68(54):3663-8.
Nephrosonography has become a useful diagnostic tool in assessing renal disease. Parenchymal structure can be viewed by stable B-scan or A-scan and, even better, on the grey scale. The principles of applying ultrasounds and for examining results are described together with percutaneous renal punction and nephrostomy guided by ultrasounds. Current applications of echography in congenital and adult diseases are outlined and it is pointed out that the method is simple, non-invasive and precise in differentiating solid from cystic lesions, for appraising solid structures and establishing whether a mass is renal or extrarenal. Experience obtained in evaluating renal lesions and the most typical pictures of these lesions are presented. It is concluded that nephrosonography, independently of renal function, is an excellent method for investigating the kidney, has numerous advantages and is free from danger.
肾超声检查已成为评估肾脏疾病的一种有用的诊断工具。通过稳定的B超扫描或A超扫描可以观察到肾实质结构,在灰度模式下观察效果更佳。文中介绍了超声检查的原理及检查结果,并阐述了超声引导下经皮肾穿刺和肾造瘘术。概述了超声检查在先天性和成人肾脏疾病中的当前应用,并指出该方法简单、无创,在鉴别实性和囊性病变、评估实性结构以及确定肿块是肾内还是肾外方面非常精确。文中介绍了评估肾脏病变的经验以及这些病变最典型的图像。得出的结论是,肾超声检查与肾功能无关,是一种用于检查肾脏的极佳方法,具有诸多优点且无风险。