[1]查金顺,商道辉,蒋艳.131I-邻碘马尿酸盐肾图检查在泌尿系疾病诊断中的临床分析[J].国际放射医学核医学杂志,2012,36(1):23-26.[doi:10.3760/cma.j.issn.1673-4114.2012.01.006]
　ZHA Jin-shun,SHANG Dao-hui,JIANG Yan.Clinical analysis of 131I-orthoiodohippurate renogram in diagnosis of urinary system diseases[J].International Journal of Radiation Medicine and Nuclear Medicine,2012,36(1):23-26.[doi:10.3760/cma.j.issn.1673-4114.2012.01.006]
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131I-邻碘马尿酸盐肾图检查在泌尿系疾病诊断中的临床分析(/HTML)
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《国际放射医学核医学杂志》[ISSN:1673-4114/CN:12-1381/R]

卷:
36
期数:
2012年第1期
页码:
23-26
栏目:
临床核医学
出版日期:
2012-01-25

文章信息/Info

Title:
Clinical analysis of 131I-orthoiodohippurate renogram in diagnosis of urinary system diseases
作者:
查金顺1;  商道辉1;  蒋艳2
1. 362000 泉州, 福建医科大学附属第二医院核医学科;
2. 362000 泉州, 福建医科大学附属第二医院图书馆
Author(s):
ZHA Jin-shun1;  SHANG Dao-hui1;  JIANG Yan2
Department of Nuclear Medicine, the Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, China
关键词:
泌尿系疾病; 放射性同位素肾图术; 肾功能试验; 碘马尿酸
Keywords:
Urologic disease; Radioisotope renography; Kidney function tests; Iodohippuric acid
DOI:
10.3760/cma.j.issn.1673-4114.2012.01.006
摘要:
目的 探讨各种泌尿系疾病患者的131I-邻碘马尿酸盐肾图图形改变的特点。方法 回顾性分析95例泌尿外科疾病住院患者共190个肾图结果。将一侧或两侧肾或输尿管、膀胱、前列腺疾病归为病变组,另侧肾或输尿管无异常归为正常组。分析异常肾图的发生率和各类异常肾图图形的临床特点。采用SPSS。16统计学软件进行病变组和正常组的异常时间-放射性曲线发生率的统计分析。结果 病变组异常肾图的发生率显著高于正常组(χ2=64.617,P<0.005)。结石、轻度积水等梗阻性疾病多表现为持续上升型和高水平延长线型肾图,严重积水或肾功能严重受损则表现为低水平延长线型或低水平递降直线型肾图;不完全性或功能性梗阻多表现为排泄迟缓和阶梯下降型肾图;肾占位病变和肾上腺疾病肾图多为正常;肾实质病变多表现为低水平递降直线和低水平延长线型肾图。结论 131I-邻碘马尿酸盐肾图可灵敏地反映尿路梗阻程度,并能反映分侧肾功能。因其图形缺乏特异性,难以单纯地根据图形作出病因诊断,但密切结合临床可发挥重要作用。
Abstract:
Objective To investigate the characteristics of the 131I-orthoiodohippurate renography in patients with a variety of urinary system disease.Methods Retrospectively analyzed 190 unilateral 131I-orthoiodohippurate renography in 95 cases with urologic system disease.Disease group included the cases with unilateral or bilateral renal or ureter,bladder and prostate gland disease.The cases with normal unilateral renal or ureter were classified as normal group.The incidence of abnormal renography and the clinical features of a variety of abnormal renography were analyzed.The SPSS.16 software was used to statistical analysis.Results The incidence of abnormal renography in disease group was significantly higher than normal group(81.34% vs.19.64%,χ2=64.617,P<0.005).The renographies of urethra obstruction,such as calculus and mild degree hydronephrosis,always showed steep and steadily rising curves or high flat lines.Severe hydronephrosis,renal insufficiency renographies and renal parenchymal disease showed low flat lines or straight line of low level falls gradually.The nephrograms were presenting with delayed drop of the excretory segments and stairs-like in sharp to descent in the halves or functional obstruction.Nephrogram pattern were mostly normal in the renal space-occupying lesion and adrenal glands disease.Conclusion The 131I-orthoiodohippurate renography has a higher sensitivity in assessing the hydronephrosis and renal function,it should be combined with clinical situation for lack of specificity.

参考文献/References:

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[3] 卢声智,卢文.131碘-邻碘马尿酸钠肾图对某些肾脏疾病的诊断价值.重庆医学,1995,24(4):218-219.
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备注/Memo

备注/Memo:
收稿日期:2011-11-20。
通讯作者:查金顺,Email:zjs630805@126.com
更新日期/Last Update: 1900-01-01