摘要
儿童肾小球疾病是起源于肾小球或主要病变位于肾小球的一组疾病,包括多种肾脏疾病,虽然其致病因素多样,但共同的病理改变为肾实质弥漫性损害。儿童肾小球疾病的早期症状和体征不明显,单一的超声检查技术难以对其进行及时全面的诊断。而常规超声、彩色多普勒超声、超声造影、三维超声和弹性成像等超声多模态技术的联合应用,能为儿童肾小球疾病肾实质的损害提供形态结构、血流分布灌注、功能评估等全面的诊断信息。未来,希望能提高对肾实质损害诊断的准确性,以指导临床制订治疗方案和评估预后。
Glomerular disease in children is a group of diseases that originate in the glomerulus or predominantly located in the glomerulus,including a variety of kidney diseases. Although there are various pathogenic factors,the common pathological change is diffuse damage of renal parenchyma. Early symptoms and signs of glomerular disease in children are not obvious,and it is difficult to make a timely and comprehensive diagnosis by a single ultrasonic examination technology.However,the combined application of ultrasonic multimodal technique,such as conventional ultrasound,color Doppler ultrasound,contrast-enhance ultrasound,three-dimensional ultrasound,and elastosonography,can provide more comprehensive diagnostic information such as morphological structure,blood flow distribution perfusion and functional evaluation for the renal parenchymal damage. In the future,it is hoped to improve the accuracy of diagnosis of renal parenchymal injury,so as to guide the clinical development of treatment plan and prognosis evaluation.
作者
李雪娇
樊伟
高虹
高鹏
LI Xuejiao;FAN Wei;GAO Hong;GAO Peng(Department of Ultrasonography,Kunming Children's Hospital,Kunming 650228,China)
出处
《医学综述》
2019年第6期1144-1148,共5页
Medical Recapitulate
基金
昆明市卫生和计划生育委员会医药卫生科技计划项目(2018-09-02-007)
昆明市科技计划项目(昆科计字〔2017-1-S-15117〕号)
关键词
肾小球疾病
多模态超声技术
儿童
Glomerular disease
Multimode ultrasonic technique
Children
