2014年4月29日星期二

What renal cysts check ?

What renal cysts inspection : inspection of renal cysts work must be carried out before treatment, only confirmed the etiology of renal cysts can be the right medicine for treatment. To help patients better check assured doctors Garden Network renal cysts tell you about the content of the thematic inspection aspects related to renal cysts .
( 1 ) Symptoms: Common located flank and back pain is usually intermittent dull . When the bleeding so that wall expansion , there may be a sudden pain. Gastrointestinal symptoms can occur even while suspected peptic ulcer or gallbladder disease. Patients may self- discovery abdominal mass , in spite of a large cyst rare. When a cyst infection, patients often complain of flank pain , malaise and fever .
( 2 ) signs: more than normal physical examination , even in the kidney area or knock and a palpable mass . If the cyst infection , threatening abdominal tenderness.
( 3 ) laboratory tests: urinalysis mostly normal . Microscopic hematuria is rare. Kidney function tests are normal, except for the multiple cysts or bilateral nature ( rare ) . Even the side surface of the kidney extensive destruction , but also because of the contralateral kidney compensatory hypertrophy and maintain normal total renal function.
(4) X -ray examination : abdominal plain film in the kidney can often see the shadow of swelling or a part of a mass oppression. Cysts can cause kidney weight or position the shaft torsional lead to kidney abnormalities . Sometimes the tumor edge stripes can be seen calcification . Excretory urography can be confirmed. In the intravenous injection of contrast agent after 1 to 2 minutes radiography , showing increased renal vascular density , and that part of the space occupied by the cyst will not , because there is no blood vessels. Urography continuous radiography showed a mass presence . A cyst or several surrounding calyx or pelvis often due to depression or bent , and become widened, flattened lumen even disappear . Oblique or lateral radiographs are also helpful in the diagnosis . When the mass occupied the pole, ureteral kidney will shift next to the spine . Kidney itself rotation will occur. By sac fluid or transmission line may be to see the psoas muscle . When conventional urography can not effectively distinguish opaque when the renal parenchyma , renal tomographic X-ray tomography may have increased renal vascular contrast with cysts . Occasionally there are relatively non- renal tumor blood vessels, thus easily confused with cysts . A few cases, the cyst wall tumors may also occur , it is necessary to make a further examination in the differential diagnosis .
(5) CT Scan: Identification of renal cysts and tumors , CT is the most accurate . Cyst fluid density similar to water , and the density of the tumor and normal renal parenchyma similar. After intravenous injection of contrast agent, renal parenchyma becomes more dense , and the cyst remains unaffected ; cyst wall and the renal parenchyma there are clear boundaries , while no tumors ; cyst wall is thin , the tumor is not. In many ways , the identification of cysts and tumors CT is superior puncture fluid judgment.
( 6 ) Renal ultrasound : taking non-invasive diagnostic techniques to identify the substance of renal cysts and masses when a large proportion of ultrasound . When a match is found cyst ultrasound images, ultrasound images can be under surveillance, cyst puncture and aspiration of cyst fluid .
( 7 ) isotope scan : a straight line scan shows the mass profile, but it is difficult to distinguish cysts or tumors. Using technetium scanning tomography can show avascular mass.
( 8 ) In the cyst photography percutaneous cyst aspiration : When checking for the identification of these cysts and tumors are still in doubt, it is necessary to puncture aspiration.

Renal cysts check what : After the introduction of the above points everyone to check aspects of renal cysts related content understanding it. 'd Like to remind patients of renal cysts during inspection must go to a regular hospital or large medical institutions to check , save money and avoid delays in the treatment of renal cysts .

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