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容易和肾结石混淆的超声征象.ppt
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    Sonographic Mimics of Renal Calculi

    J Ultrasound Med 23:1361-1367 ? 0278-4297

    容易和肾结石混淆的超声征象

    丁香园超声版 xihuansushi

    Bright Reflectors Within the Kidney

    ? Figure 1. Renal arterial system. Note the proximity of the segmental artery divisions and the relationship of the arcuate arteries to the bases of the renal pyramids.

    ?

    肾脏动脉系统。肾段动脉与锥体基底部的弓状动脉的关系。

    Vascular Reflectors segmental artery

    ? Figure 2. A and B, Coronal sections of the kidney. Arrows mark a segmental artery. C, Renal Doppler image showing the profuse vascular nature of the kidney. 箭头显示肾段动脉。

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    Vascular Reflectors Arcuate Arteries

    ? Figure 3. Arcuate artery (arrow). Note its orthogonal relationship to the ultrasound beam and its double-channel appearance. 弓状动脉。与超声束垂直,呈双管状。光斑位于锥体的基底部,这个地方正好是弓状动脉。

    Nonvascular Reflectors: Prominent Papillae 肾乳头

    ? Figure 4. Renal pyramids肾脏锥体. Echogenic tips of the renal pyramids肾锥体顶端乳头处回声增强 as seen in mild hydronephrosis也可看到轻度的肾盂积水 are shown.

    ? These structures can also appear echogenic in conditions such as 很多疾病可以导致这种表现early medullary nephrocalcinosis早期的 肾髓质钙质沉着 (Anderson-Carr progression),2 papillary necrosis乳头坏死, medullary sponge kidneys髓质海绵肾, infection病毒感染 with Cytomegalovirus or Candida albicans, and medullary fibrosis 髓质的纤维变性.

    Nonvascular Reflectors: Prominent Papillae

    ? Figure 5. Transient pyramidal echogenicity暂时性锥体回声增强. These images of an 8-day-old neonate show the characteristic appearance of transient pyramidal echogenicity due to the precipitation of Tamm-Horsefall proteins. These findings disappeared by 6 weeks of age. 一8天大新生儿出现这种表现 ......

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