Kuligowska E, Newman B, White S J, Caldarone A
Radiology. 1983 May;147(2):521-6. doi: 10.1148/radiology.147.2.6836133.
Fifty-one patients with acute inflammatory renal disease were examined with ultrasound. The spectrum of findings seen in acute pyelonephritis is described, with emphasis on the evolution of the disease from acute focal inflammation to perinephric extension. There were 26 cases of acute bacterial nephritis, 15 cases of abscess formation, and 10 cases of pyohydronephrosis. Pathologic correlation was obtained. The impact of percutaneous needle puncture on the diagnosis and treatment of all stages of renal disease is discussed. Prompt diagnosis can be made, and specific antibiotic therapy can be instituted on the basis of information obtained by ultrasound examination and percutaneous aspiration. If necessary, treatment may be aided by ultrasonically guided placement of drainage catheters. Serial examination will show resolution of the disease, and it avoids exposure of the patient to ionizing radiation and intravenous contrast agents.
对51例急性炎症性肾病患者进行了超声检查。描述了急性肾盂肾炎的超声表现谱，重点关注疾病从急性局灶性炎症到肾周扩展的演变过程。其中急性细菌性肾炎26例，脓肿形成15例，肾盂积水伴感染10例。取得了病理相关性。讨论了经皮穿刺针在肾病各阶段诊断和治疗中的作用。通过超声检查和经皮穿刺抽吸所获得的信息能够实现快速诊断，并开展针对性的抗生素治疗。如有必要，可在超声引导下放置引流导管辅助治疗。系列检查将显示疾病的消退情况，且避免患者暴露于电离辐射和静脉造影剂。
