[1]袁建伟,贺小红,袁白虹,等.346例上尿路结石患者99Tcm-DTPA肾动态显像结果分析[J].国际放射医学核医学杂志,2010,34(3):171-173.
　YUAN Jian-wei,HE Xiao-hong,YUAN Bai-hong,et al.Analyses of 99Tcm-DTPA dynamic kidney imaging on 346 patients of upper urinary tract calculi[J].International Journal of Radiation Medicine and Nuclear Medicine,2010,34(3):171-173.
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346例上尿路结石患者99Tcm-DTPA肾动态显像结果分析(/HTML)
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《国际放射医学核医学杂志》[ISSN:1673-4114/CN:12-1381/R]

卷:
34
期数:
2010年第3期
页码:
171-173
栏目:
临床核医学
出版日期:
1900-01-01

文章信息/Info

Title:
Analyses of 99Tcm-DTPA dynamic kidney imaging on 346 patients of upper urinary tract calculi
作者:
袁建伟;  贺小红;  袁白虹;  苏少弟
广东省佛山市第一人民医院核医学科, 528000
Author(s):
YUAN Jian-wei;  HE Xiao-hong;  YUAN Bai-hong;  SU Shao-di
Department of Nuclear Medicine, The First People’s Hospital of Foshan, Foshan 528000, China
关键词:
尿路结石; 放射性核素显像; 99m锝五乙酸盐; 肾小球滤过率; 尿路造影术
Keywords:
Urinary calculi; Radionuclide imaging; Technetium 99Tcm pentetate; Glomerular filtration rate; Urography
分类号:
10.3760/cma.j.issn.1673-4114.2010.03.012
摘要:
目的 探讨99Tcm-二亚乙基三胺五乙酸(99Tcm-DTPA)肾动态显像在上尿路结石患者肾功能评价中的临床价值.方法 回顾性分析了346例上尿路结石患者的核素肾动态显像、静脉肾盂造影(IVP)和血尿素氮(BUN)、血清肌酐(SCr)值,并依据总肾肾小球滤过率(GFR)将BUN和SCr结果分成4组进行分析.结果 ①346例肾动态显像患者,总肾GFR与BUN、SCr水平呈明显负相关(r=-0.458,P=0.000;r=-0.542,P=0.000).②4组之间比较,BUN和SCr均存在统计学差异(F=49.23,P=0.000;F=80.66,P=0.000);经最小显著差别法分析,组1与组2之间比较,BUN和SCr均无统计学差异(P=0.119和P=0.088);而其余各组之间比较,BUN和SCr均存在统计学差异(P均<0.05).③IVP不显影的43只患肾中,经99Tcm-DTPA肾动态显像提示有18只(41.9%)有残余肾功能(GFR≥10 ml/min),平均GFR为(21.89±12.81)ml/min.结论 99Tcm-DTPA肾动态显像能早期评价肾功能,特别是对IVP不显影的患肾功能的评价具有重要临床价值.
Abstract:
Objective To explore the clinical value of 99Tcm-DTPA renal dynamic imaging in evaluating renal function of the patients with upper urinary tract calculi. Methods The results of 99Tcm-DTPA renal dynamic imaging, glomerular filtration rate (GFR), intravenous pyelography (IVP), blood urea nitrogen (BUN) and serum creatinine (SCr) in 346 patients with upper urinary tract calculi diseases were analyzed retrospectively. These 346 patients were divided into four groups according to their total GFR value. Results ① The renal dynamic imaging in 346 patients could accurately reflect the function of the two kidneys. GFR was negatively related to the serum BUN and SCr levels (r=-0.458, P=0.000 and r=-0.542, P=0.000). ② The BUN and SCr levels showed significant difference among the four groups (F=49.23,P=0.000 and F=80.66,P=0.000). There were no significant difference of the BUN and SCr levels found between group 1 and group 2 (P=0.119, P=0.088, respectively), while significant difference of the BUN and SCr levels found among the other groups (P<0.05 for all situations). ③ Forty-three kidneys of the 346 patients were not visualized by IVP, while 18 of them (41.9%) had shown residual function (GFR≥10 ml/min) with 99Tcm-DTPA renal dynamic imaging, the mean GFR was (21.89±12.81)ml/min. Conclusion 99Tcm-DTPA renal dynamic imaging is valuable to early evaluate the renal function, especially for the sick renal function in IVP detection failed patients.

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:2009-11-06。
通讯作者:袁建伟(E-mail:yjwei214@hotmail.com)
更新日期/Last Update: 1900-01-01