Krivenko E V, Zubovskiĭ G A, Ivanov E V
Med Radiol (Mosk). 1984 Oct;29(10):4-10.
A total of 127 patients were examined to determine the efficacy of the use of sonography, angionephroscintigraphy and roentgenocontrast angiography in renal tumors and the importance of these methods in diagnostic studies with suspicion for a renal tumor. All the patients were given ultrasound and radionuclide examination, 86 roentgenocontrast angiography. The study has shown a high sensitivity of all three methods in the diagnosis of sizable renal lesions though each one has a different diagnostic tendency. In vascularized tumors the combined use of sonography and angionephroscintigraphy practically ensures 100% diagnosis in a patient even at the out-patient stage of examination. The main difficulties occur in the differential diagnosis of hypovascular sizable tumors when the comparison of the results of all three methods makes it possible to establish correct diagnosis. The advantage of sonography is the absence of traumatism, that of angiography a possibility to determine the functional activity of both involved and intact kidneys. Roentgenocontrast angiography plays the leading role in defining the involvement of the renal and cava inferior veins by a tumor thrombus.
共检查了127例患者，以确定超声检查、血管肾闪烁造影和X线造影血管造影在肾肿瘤诊断中的有效性，以及这些方法在疑似肾肿瘤诊断研究中的重要性。所有患者均接受了超声和放射性核素检查，86例接受了X线造影血管造影。研究表明，这三种方法对较大肾病变的诊断均具有较高的敏感性，尽管每种方法都有不同的诊断倾向。在血管丰富的肿瘤中，超声和血管肾闪烁造影联合应用实际上可在门诊检查阶段就能确保对患者进行100%的诊断。主要困难在于乏血管性较大肿瘤的鉴别诊断，此时比较三种方法的结果有助于做出正确诊断。超声检查的优点是无创伤性，血管造影的优点是能够确定患肾和健肾的功能活性。X线造影血管造影在确定肿瘤血栓对肾静脉和下腔静脉的累及方面起主导作用。
