泌尿道的超声检查 Kidney DDS chen.pptVIP

Renal dysplasia 肾发育不良 The kidneys 肾脏 Dog f 12 m – vomitus / diarrhea 母犬，12月龄－呕吐/腹泻 ? The kidneys 肾脏 Nephrocalcinosis 肾钙沉着症 The kidneys 肾脏 Nephrocalcinosis 肾钙沉着症 The kidneys 肾脏 Focal/multifocal pathologies 局灶性/多病灶性病变 Solid lesions 实质性病变 Benigne (granuloma – hematoma – abscess – infarct) 良性（肉芽肿－血肿－脓肿－梗死） +++ well defined 能很好的确诊 minimal destruction of the architecture 对结构的破坏很小 variable echogenicity 回声性不定 infarct ? hyperechogenic, triangular, serosal indentation 梗死 ? 有高回声，三角型的浆膜缺口 The kidneys 肾脏 Focal/multifocal pathologies 局灶性/多病灶性病变 Solid lesions 实质性病变 Maligne 恶性 Echo-image: 回声影像 distorsion of architecture 结构变形 variable echogenicity 回声性不定 Cat ? multiple hypoechoic nodules ? +++ lymphoma 猫?多个低回声性的结节?极有可能是淋巴瘤 Dog? solitary lesions ? renal carcinoma multiple hyerechoic nodules ? sarcoma 狗?单个病变?肾癌 多个高回声性的结节?肉瘤 The kidneys 肾脏 Focal/multifocal pathologies 局灶性/多病灶性病变 Solid lesions 实质性病变 The kidneys 肾脏 Focal/multifocal pathologies 局灶性/多病灶性病变 Solid lesions 实质性病变 Boxer fs, 9y, hematuria 拳师犬，绝育母犬，9岁，血尿 The kidneys Focal/multifocal pathologies 局灶性/多病灶性病变 Solid lesions 实质性病变 The kidneys 肾脏 Biopsy Needed!!! 需要进行活检!!! The kidneys 肾脏 Focal/multifocal pathologies 局灶性/多病灶性病变 Cystic lesions 囊性病变 Cysts 囊肿 round 圆型 anechoic content 有无回声的内容物 distal acoustic enhancement 远端回音增加 solitary or multiple 单个或多个病变 The kidneys 肾脏 Focal/multifocal pathologies 局灶性/多病灶性病变 Cystic lesions 囊性病变 Lesion solitarie 单个病变 ++ Dog ± Cat 多见与狗，猫不多见 +++ benigne 极有可能是良性的 * Although the adrenal glands are medial to the cranial poles of the respective kidneys, the glands are easier to locate using adjacent anatomic landmarks. The left adrenal gland is ventral or ventrolateral to the aorta, cranial to the left renal artery, and at the level or immediately caudal to the origin of the cranial mesenteric artery. * Although the adrenal glands are medial to the cranial poles of the respective kidn