Renouard O, Mazeman E, Locquet P, Lemaitre G
J Radiol. 1984 Oct;65(10):645-51.
Results and diagnostic value of computed tomography and ultrasound imaging in subcapsular hematoma of the kidney are discussed in relation to data from 9 cases. A positive diagnosis could be made in each case from CT scan images, but results of ultrasonography were less evident. An etiological diagnosis is difficult to establish and extreme caution is recommended before excluding a tumoral lesion, even in patients developing hematomas during anticoagulant treatment. Arteriography remains a valid examination since analysis of a large subcapsular hematoma by a CT scan is often risky, and a small cortical tumor may remain undetected.
结合9例病例的数据,讨论了计算机断层扫描(CT)和超声成像在肾包膜下血肿中的结果及诊断价值。通过CT扫描图像可对每例病例做出阳性诊断,但超声检查结果不那么明显。病因诊断难以确立,即使在抗凝治疗期间发生血肿的患者中,在排除肿瘤性病变之前也建议极度谨慎。血管造影仍是一种有效的检查方法,因为通过CT扫描分析大的包膜下血肿往往有风险,小的皮质肿瘤可能仍未被发现。