De Cesaris R, Balestrazzi M, Ranieri G, Perosa L
Minerva Med. 1979 Apr 30;70(21):1531-4.
In spite of the widespread use of intravenous urography and its extensive employment in the study of hypertension, there is still no unanimity of views as to its application in such pathology. 147 urographies belonging to 330 hypertense patients admitted to the Bari Medical Pathology Department between 1-1-1975 and 30-9-1977 have therefore been examined so as to assess its diagnostic value. Thereafter, the percentage of abnormalities found with urography were evaluated and compared with those in the population at large. Results stress on the one hand the higher incidence of renal ptosis and poly-cystic kidneys in the hypertense, and also highlight the possibility of revealing clinically silent diseases with this technique; on the other hand, many urographies (more than 50%) were useless and it is not always possible to diagnose certainly the presence of stenosis of the renal artery owing to the presence of false positives and negatives.
尽管静脉尿路造影已被广泛使用,且在高血压研究中得到了广泛应用,但对于其在这种病理情况下的应用,仍没有一致的看法。因此,对1975年1月1日至1977年9月30日期间入住巴里医学病理科的330例高血压患者的147次尿路造影进行了检查,以评估其诊断价值。此后,对尿路造影发现的异常百分比进行了评估,并与总体人群中的异常百分比进行了比较。结果一方面强调了高血压患者中肾下垂和多囊肾的发生率较高,同时也突出了用该技术发现临床无症状疾病的可能性;另一方面,许多尿路造影(超过50%)是无用的,而且由于存在假阳性和假阴性,并不总是能够肯定地诊断出肾动脉狭窄的存在。