Michel J R, Rouleau P, Reboul F, Moreau J F, Affre J, Raust J V
J Radiol Electrol Med Nucl. 1977 Aug-Sep;58(8-9):505-12.
In twenty cases of pseudo-tumoral sinusal lipomatosis for which the patients had undergone renal arteriography, the authors investigated the urographical and arteriographical clinical signs by comparing them with the previously published data. After reviewing these various elements and considering the various possible diagnoses, they came to the conclusion that, although the arteriographic signs are quite distinctive, they are not absolutely essential for diagnosis of this disorder--which it should be possible to confirm unreservedly from the urographical data in all cases in which there are considerable anatomical lesions. A well-managed urographical technique and careful assessment of the facts should allow arteriography to be discarded, indications for this only being justified where there is an associated symptomatology, especially haematuria.
在20例已接受肾动脉造影的假性肿瘤性鼻窦脂肪瘤患者中,作者通过将尿路造影和动脉造影的临床体征与先前发表的数据进行比较来进行研究。在回顾了这些不同因素并考虑了各种可能的诊断后,他们得出结论,尽管动脉造影体征相当独特,但对于这种疾病的诊断并非绝对必要——在所有存在明显解剖病变的病例中,仅根据尿路造影数据就应能够毫无保留地确诊。良好的尿路造影技术和对事实的仔细评估应允许放弃动脉造影,只有在存在相关症状,尤其是血尿时,动脉造影的指征才合理。