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实时超声检查能否替代静态B超扫描用于诊断肾梗阻?

Can real-time ultrasonography replace static B-scanning in the diagnosis of renal obstruction?

作者信息

Lee J K, Baron R L, Melson G L, McClennan B L, Weyman P J

出版信息

Radiology. 1981 Apr;139(1):161-5. doi: 10.1148/radiology.139.1.7208917.

DOI:10.1148/radiology.139.1.7208917
PMID:7208917
Abstract

Two hundred consecutive patients were evaluated for renal obstruction using both static B-scanning and high resolution real-time scanning. The overall diagnostic accuracy was 93% for the static B-scanner and 94% for the real-time unit, with a false positive diagnostic rate of 8% for each. Because of its greater flexibility and shorter scanning time, real-time can replace static B-scanning in the diagnosis of renal obstruction. It has also become the preferred method of guidance for interventional uroradiological procedures. The pitfalls of real-time scanning in evaluating renal obstruction are also discussed.

摘要

对200例连续患者同时使用静态B超扫描和高分辨率实时扫描评估肾梗阻情况。静态B超扫描仪的总体诊断准确率为93%,实时扫描仪为94%,两者的假阳性诊断率均为8%。由于实时扫描具有更大的灵活性和更短的扫描时间,在肾梗阻诊断中可取代静态B超扫描。它也已成为介入性尿路放射学检查的首选引导方法。文中还讨论了实时扫描在评估肾梗阻时存在的缺陷。

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引用本文的文献

1
Acute renal failure in the intensive care unit. Part 2.重症监护病房中的急性肾衰竭。第二部分。
Intensive Care Med. 1988;14(2):86-96. doi: 10.1007/BF00257456.
2
Positional variation in the ultrasound appearance of the renal pelvis.肾盂超声表现的位置变异
Pediatr Radiol. 1990;21(1):45-7. doi: 10.1007/BF02010814.
3
Ultrasonography in the diagnosis of renal obstruction.超声检查在肾梗阻诊断中的应用
BMJ. 1990 Oct 27;301(6758):944-6. doi: 10.1136/bmj.301.6758.944.