超声诊断肾先天性异常的临床价值

目的探讨超声诊断肾先天性异常的临床价值。方法对首诊经超声诊断,并经CT、静脉肾盂造影及部分经手术病理证实的44例肾先天性异常患者进行回顾性总结分析。结果超声诊断肾先天性异常患者44例,归纳为6种异常。超声与CT、静脉肾盂造影及部分手术病理对比分析,相符43例,符合率97.7%(43/44),漏诊1例为异位肾伴发育不全,追踪发现一组家族性多囊肾、多囊肝患者。结论超声诊断肾先天性异常具有重要的临床价值,其有无创性、快速、经济、诊断符合率高等优势,可作为其临床首选检查方法。

Ultrasonographic Assessment of Innate Kidney Dysplasia

Objective To investigate the clinical value of ultrasonography in the diagnosis of innate dysplasia of kidney.Methods Recalled analyses were carried on the 44 cases with innate dysplasia of kidney who were firstly diagnosised by ultrasonography and then confirmed by CT,intravenous pyelography(IVP) and surgical pathology.Results 44 cases with innate dysplasia of kidney diagnosed by ultrasonography can be divided into 6 kinds of innate dysplasia of kidney.Contrasting the CT result with IVP and surgical pathology,43 cases were conformed,the conforming rate was 97.7%(43/44).The omitted 1 case was renal ectopia and hypolasia,and the follow-up survey discovered further that there was a group of family polycystic renal and polycystic liver disease.Conclusions Ultrasonography in the Assessment of innate dysplasia of kidney has important clinical value with its advantage of non-trauma,high speed,economy and high diagnosed confirming rate.It can be used as the first choice in clinical practice.