Rieden K, Weber M
Rontgenblatter. 1985 May;38(5):163-7.
Chronic pyelonephritis, which is largely diagnosed via imaging procedures, is characterised by defined parenchymal scars that become manifest in the excretory urogram as contour recessions of the kidney and result in deformations of the calyces and papillae. The authors describe other renal diseases, dysplasias, variations from the standard, and artifacts resulting in similar signs on x-ray film, thus leading to the wrong diagnosis of chronic pyelonephritis. The essential differential diagnostic criteria are explained.
慢性肾盂肾炎主要通过影像学检查来诊断，其特征是存在明确的实质瘢痕，这些瘢痕在排泄性尿路造影中表现为肾脏轮廓凹陷，进而导致肾盏和乳头变形。作者描述了其他肾脏疾病、发育异常、与标准情况的差异以及在X线片上产生类似征象的伪影，这些都会导致对慢性肾盂肾炎的误诊。文中解释了主要的鉴别诊断标准。
