Winkler P, Altrogge H
Pediatr Radiol. 1985;15(4):231-7. doi: 10.1007/BF02388762.
In 40 children with histologically confirmed diagnosis of nephritis 82 sonographic examinations were performed for evaluation of echographic signs of nephritis. Increased cortical renal echointensity in comparison with the normal liver and enlarged parenchymal volume proved to be the most specific and reliable signs of nephritis, particularly if both were present. Accentuated corticomedullary differentiation was too insensitive to be of additional value. Twenty-one patients had follow up examinations in the course of their nephritis. In 15 patients sonographic signs, serum creatinine and clinical classification showed parallel changes. In two cases sonographic improvement preceded clinical and laboratory normalization by several weeks, giving valuable prognostic information.
对40名经组织学确诊为肾炎的儿童进行了82次超声检查，以评估肾炎的超声征象。与正常肝脏相比，肾皮质回声增强以及实质体积增大被证明是肾炎最具特异性和可靠性的征象，尤其是两者同时出现时。肾皮质与髓质分界增强过于不敏感，无额外价值。21名患者在肾炎病程中接受了随访检查。15名患者的超声征象、血清肌酐和临床分类呈现平行变化。2例患者超声表现改善比临床和实验室指标正常提前数周，提供了有价值的预后信息。
