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Objective: To explore of ultrasound combined with renal pathology score, and compare the application value of elastography, two-dimensional (2D) ultrasound, three-dimensional（3D） ultrasound and other ultrasound imaging methods in early chronic kidney diagnosis. Methods: Combined ultrasound and pathological scores. A retrospective analysis of 118 patients with chronic kidney disease examined in the department of nephrology of the author's hospital. 36 healthy who were normal in the same period were selected as the control group. Combined with the left kidney pathology score and multi-factor logistic regression analysis to evaluate independent predictors of early pathological injured in CKD, ROC curve analysis to evaluate the diagnostic efficacy of each ultrasound index. Statistical evaluation: The difference was statistically significant (P <0.05). Results : In patients with severely injured CKD, renal length, three-dimensional kidney volume, Renal interlobar artery RI, and AT all appear to be effective predictors. Among patients with moderate injured, only AT and RI were effective predictors. Among patients with mildly impaired CKD, AT has the highest diagnostic efficacy, but SWV has the highest sensitivity (83.8%) for detecting mild renal injured. The results confirm that the Renal interlobar artery AT is the strongest independent predictor of CKD injured. Conclusion: The results confirm that the Renal interlobar artery AT is the strongest independent predictor of CKD injured.
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Huang et al. (2021) studied this question.