[1]李保军,赵德善.盆腔异位肾肾动态显像前后位像GFR测定值的差异比较[J].国际放射医学核医学杂志,2014,38(1):1-4,47.[doi:10.3760/cma.j.issn 1673-4114.2014.01.001]
　Li Baojun,Zhao Deshan.Comparing the difference of measured GFR of ectopic pelvic kidney between anterior and posterior imaging processing in renal dynamic imaging[J].International Journal of Radiation Medicine and Nuclear Medicine,2014,38(1):1-4,47.[doi:10.3760/cma.j.issn 1673-4114.2014.01.001]
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《国际放射医学核医学杂志》[ISSN:1673-4114/CN:12-1381/R]

卷:
38
期数:
2014年第1期
页码:
1-4,47
栏目:
出版日期:
2014-01-25

文章信息/Info

Title:
Comparing the difference of measured GFR of ectopic pelvic kidney between anterior and posterior imaging processing in renal dynamic imaging
作者:
李保军;  赵德善
山西医科大学第一医院核医学科, 太原 030001
Author(s):
Li Baojun;  Zhao Deshan
Department of Nuclear Medicine, the First Hospital of Shanxi Medical University, Taiyuan 030001, China
关键词:
肾小球滤过率; 异位肾; 肾动态显像
Keywords:
Glomerular filtration rate; Ectopic kidney; Renal dynamic imaging
DOI:
10.3760/cma.j.issn 1673-4114.2014.01.001
摘要:
目的 比较分析盆腔异位肾肾动态显像前、后位像肾小球滤过率(GFR)测定值的差异。方法 回顾性分析10例盆腔异位肾患者的肾动态显像GFR测定结果,分别进行前位异位单肾处理和后位双肾处理,将后位像处理所获正常肾脏GFR与前位像处理所获异位肾GFR相加,获得总肾GFR,并与后位像处理所获双肾GFR和双血浆法GFR测定结果进行比较和相关性分析,并进行了相应随访。采用配对t检验法和双变量相关分析检验法对数据进行统计学分析。结果 10例盆腔异位肾患者前位像处理所获异位肾GFR[(27.48±12.24)ml/(min·1.73m2)]较后位像处理所获异位肾GFR[(10.71±4.74)ml/(min·1.73m2)]高出46%,二者间差异有统计学意义(t=5.481,P<0.01)。前位像处理所获总GFR与双血浆法GFR差异无统计学意义(t=-2.238,P>0.05),二者的相关性较好(r=0.704,P<0.05);后位像处理所获总GFR与双血浆法GFR差异有统计学意义(t=4.629,P<0.01),二者的相关性较差(r=0.576,P>0.05)。结论 在肾动态显像中,前位像处理所获GFR较后位像更能真实地反映盆腔异位。肾的功能状况。
Abstract:
Objective To compare and analyze the difference of measured glomerular filtration rate (GFR)of ectopic pelvic kidney between anterior and posterior imaging processing in renal dynamic imaging. Methods There were 10 patients collected retrospectively, with ectopic kidneys in pelvic cavity confirmed by ultrasound, CT, renal dynamic imaging and other imaging modalities. All images of ectopic kidneys in renal dynamic imaging were processed by anterior and posterior methods respectively. The ectopic kidney was only processed in anterior imaging, eetopie kidney and contralateral normal kidney were processed in posterior imaging. Total GFR equalled the sum of GFR of normal kidney in posterior imaging and GFR of ectopic kidney in anterior imaging, was compared with total GFR of two kidneys in posterior imaging and GFR in two-sample method. All correlation analysis were completed between GFRs from three methods and all patients were followed up. Statistically paired t-test and bivariate correlation analysis test were used. Results The mean GFR of ectopic kidney in anterior imaging equal to (27.48±12.24)ml/ (min·1.73 m2). It was more than GFR[ (10.71±4.74)ml/ (min·1.73 m2)] in posterior imaging above 46% (t=5.481, P<0.01). There was no significant difference (t=-2.238, P>0.05), but better correlation (r=0.704, P<0.05)between total GFR in anterior imaging and GFR in two-sample method. There was significant difference (t=4.629, P<0.01)and worse correlation (r=0.576, P>0.05)between total GFR in posterior imaging and GFR in two-sample method. Conclusion Comparing with GFR in posterior imaging, GFR in anterior imaging can more truly reflect function condition of ectopie pelvic kidney in renal dynamic imaging.

参考文献/References:

[1] Hephzibah J,Shanthly N,Oommen R. Comparison of glomerular filtration rate measured by plasma sample technique,Cockroft Gault method and Gates’ method in voluntary kidney donors and renal transplant recipients[J].Indian J Nucl Med,2013,28(3):144-151.
[2] Hsieh MY,Ku MS,Tsao TF, et al. Rare case of atrophic ectopic kidney with giant hydronephrosis in a 7-year-old girl[J].Urology,2013,81(3):655-658.
[3] Lu CC,Tain YL,Yeung KW, et al. Eetopic pelvic kidney with urinary tract infection presenting as lower abdominal pain in a child[J].Pediatr Neonatol,2011,52(2):117-120.
[4] Taslim BB,Abdulwasiu BA,Olusegun S, et al. Crossed renal ectopia coexisting with nephrolithiasis in a young Nigerian man[J].Arab J Nephrol Transplant,2012,5(2):107-110.
[5] Markov D,Atanassova D,Pavlova E, et al. Empty renal fossa-a prenatal diagnostic dilemma[J].Akush Ginekol(Sofiia),2010,49(5):13-19.
[6] Kim TH,Lee HH,Lee SH, et al. Three-dimensional CT is useful for diagnosing an ectopic kidney[J].J Obstet Gynaecol,2010,30(8):877-878.
[7] Bolen MA,Tandon NS,Roselli EE. Pseudocoarction of the aorta and crossed fused ectopic kidney assessed by multidetector computed tomography[J].J Cardiovasc Comput Tomogr,2010,4(6):405-406.
[8] Muthusami P,Ramesh A. Appearances of the circumcaval ureter on excretory urography and MR urography:A single-center case series[J].Indian J Radiol Imaging,2013,23(1):81-85.
[9] Negre T,Haddad M,Garaix F, et al. Laparoscopic nephrectomy of a cross-fused ectopic kidney in a child with hypertension[J].J Pediatr Urol,2010,6(5):522-524.
[10] Soni HC,Jadav VJ,Sumariya B, et al. Primary malignancy in crossed fused ectopic kidney[J].Abdom Imaging,2012,37(4):659-663.
[11] Baldie KG,Al-Qassab UA,Ritenour CW. Pelvic nephroureterectomy for renal cell carcinoma in an ectopic kidney[J/OL].Case Rep Oncol Med,2012,2012[2013-11-25].http://www.hlndawi.com/crim/oncological.medicine/2012/350916.
[12] Yadav R,Kataria K,Balasundaram P, et al. Mucinous cystadenocarcinoma arising in an ectopic kidney simulating a retroperitoneal dermoid cyst:a rare tumour presenting as a diagnostic dilemma[J].Malays J Pathol,2013,35(1):95-98.
[13] He B,Mitchell A. Laparoscopic donor nephrectomy for ectopic kidney[J].Transplant Proc,2012,44(10):3051-3054.
[14] 解朋,吴炜杰,黄建敏,等.测定慢性肾小球肾炎患者肾小球滤过率的三种方法比较[J].中华肾脏病杂志,2010,26(10):766-769.
[15] 麻广字,邵明哲,陈云爽,等.肾脏深度对SPECT测定肾小球滤过率的影响[J].中国医学影像技术,2013,29(5):161-165.
[16] Gates GF. Computation of glomerular filtration rate with Tc-99m DTPA:an in-house computer program[J].J Nucl Med,1984,25(5):613-618.

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备注/Memo

备注/Memo:
收稿日期:2013-11-25。
通讯作者:赵德善(Email:deshanzh@163.com)
更新日期/Last Update: 1900-01-01