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[选择性动脉内注射¹³³氙和⁹⁹ᵐ锝后用安格闪烁照相机测量肾血流量]

[Measurement of renal blood flow with the Anger scintillation camera after selective intra-arterial injections of 133xenon and 99mtechnetium].

作者信息

Heidenreich P, Hör G, Kempken K, Oberdorfer M, Kramann B, Fübetal H, Pabst H W

出版信息

Rofo. 1975 Jan;122(1):63-73. doi: 10.1055/s-0029-1230022.

Abstract

A "region of interest" technique for measuring renal blood flow is described, using as Anger camera and selective intra-arterial injection of 133Xe and 99mTc. The sequence of measurements has the advantage of providing information on regional blood flow. The values for RBF and RBFD obtained with 133Xe agree with those in the literature. Selective determination of the RCBF with the "region of interest" technique using 133Xe was not possible. Mean transit time for 99mTc was calculated after correction of the 99mTc indicator dilution curve with respect to recirculation and background activity. All typer of pathological changes in the kidney showed a statistically significant increase in mean transit time when compared with a control group. In patients with uncomplicated essential hypertension, the mean transit time was signigicantly reduced. A comparison of the mean transit time of 99mTc with the haemodynamic parameters derived from the 133Xe studies, and experiments with pharmocologically induced vasoconstriction indicates that the mean transit time represents a measure of the RCBF.

摘要

描述了一种用于测量肾血流量的“感兴趣区”技术,使用安格相机以及选择性动脉内注射133Xe和99mTc。测量序列具有提供区域血流信息的优势。用133Xe获得的肾血流量(RBF)和肾血容量分布(RBFD)值与文献中的值一致。使用133Xe通过“感兴趣区”技术选择性测定肾皮质血流量(RCBF)是不可能的。在对99mTc示踪剂稀释曲线进行再循环和本底活性校正后,计算了99mTc的平均通过时间。与对照组相比,肾脏所有类型的病理变化均显示平均通过时间有统计学意义的增加。在无并发症的原发性高血压患者中,平均通过时间显著缩短。将99mTc的平均通过时间与从133Xe研究得出的血流动力学参数进行比较,以及药理学诱导血管收缩的实验表明,平均通过时间代表了肾皮质血流量的一种度量。

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