Pfeifer K J, Eisenberger F, Heinze H G
Fortschr Med. 1975 Sep 25;93(27):1249-52, 1282.
131-J-Hippuran dynamic camera studies were performed in 50 patients suffering from tuberculosis of the kidney. Sequential scintigraphy indicated marked defects of the parenchyma in 50%, contracted kidneys in 14% and a loss of kidney function in 22%. 58% of the tested cases showed a disturbed drainage of urine. The decrease of function of the involved kidney could be evaluated quantitatively by simultaneous measurement of the J-Hippuran-Clearance. In uro-tuberculosis the advantages of the dynamic camera studies consist in the determination of the function status of the involved and the contralateral kidney. Indications of dynamic camera studies of the kidney in urotuberculosis are: 1. prior to surgery: exact determination of the function of both kidneys, 2. following surgery and during medicamental therapy: control of the postoperative course and control of the functional status during chemotherapy.
对50例肾结核患者进行了131-J-马尿酸动态肾显像研究。连续闪烁显像显示，50%的患者实质有明显缺损，14%的患者肾脏缩小，22%的患者肾功能丧失。58%的受检病例显示尿液引流不畅。通过同时测量J-马尿酸清除率可定量评估患侧肾脏功能的减退。在泌尿系统结核中，动态肾显像研究的优势在于能确定患侧和对侧肾脏的功能状态。泌尿系统结核患者进行肾脏动态显像研究的指征为：1. 手术前：准确测定双肾功能；2. 手术后及药物治疗期间：监测术后病程及化疗期间的功能状态。
