Dacher J N
Service de radiologie pédiatrique, hôpital Charles-Nicolle, Rouen, France.
Arch Pediatr. 1997 Dec;4(12):1255-8. doi: 10.1016/s0929-693x(97)82618-8.
The proximity of child's kidneys from the cutaneous surface allows a particularly sensitive exploration by doppler sonography, which in addition has the major advantage of being a non-invasive, non-irradiating and painless technique. However there are two limitations to this technique: the lack of cooperation of some children and the still limited availability of high quality equipment in intensive care units. Indeed most of the applications described in this paper (i.e., pyelonephritis, renovascular hypertension, tumors, acute renal insufficiency and renal vein thrombosis) require, besides an experienced operator, expensive power doppler equipment including high frequency and high resolution probes.
儿童肾脏靠近皮肤表面,这使得通过多普勒超声检查进行特别敏感的探查成为可能,此外,该检查还有一个主要优点,即它是一种非侵入性、无辐射且无痛的技术。然而,这项技术有两个局限性:一些儿童不配合,以及重症监护病房中高质量设备的可用性仍然有限。事实上,本文所述的大多数应用(即肾盂肾炎、肾血管性高血压、肿瘤、急性肾功能不全和肾静脉血栓形成),除了需要经验丰富的操作人员外,还需要昂贵的能量多普勒设备,包括高频和高分辨率探头。