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低剂量碘海醇低渗性尿路造影术

Low-dose low-osmolar urography with iohexol.

作者信息

Gupta Rakhee, Airon Raj Kumar

机构信息

Department of Radiodiagnosis, Pt. BD Sharma Postgraduate Institute of Medical Sciences, Rohtak, India.

出版信息

Urol Int. 2003;71(2):207-10. doi: 10.1159/000071849.

DOI:10.1159/000071849
PMID:12890963
Abstract

OBJECTIVES

To study the diagnostic efficacy of low-dose iohexol (90 mg iodine/kg body weight) for intravenous urography.

MATERIALS AND METHODS

Intravenous urography was performed using low-dose iohexol in 50 patients with various urinary complaints. Patients with elevated blood urea and serum creatinine levels were excluded. The urographic films were evaluated with regard to diagnostic information about renal parenchyma, calyces, collecting system and overall image. Patients were also observed for adverse reactions.

RESULTS

A satisfactory diagnosis could be reached in 94% of patients with low-dose iohexol. Only a minor reaction in the form of heat sensation was noted in 1 patient, which did not require any treatment.

CONCLUSION

Iohexol is safe and very useful diagnostically in a low dose for routine intravenous urography.

摘要

目的

研究低剂量碘海醇(90毫克碘/千克体重)用于静脉尿路造影的诊断效果。

材料与方法

对50例有各种泌尿系统症状的患者使用低剂量碘海醇进行静脉尿路造影。排除血尿素和血清肌酐水平升高的患者。对尿路造影胶片进行评估,以获取有关肾实质、肾盏、集合系统及整体影像的诊断信息。同时观察患者的不良反应。

结果

94% 的患者使用低剂量碘海醇可获得满意诊断。仅1例患者出现轻微的热感反应,无需任何治疗。

结论

碘海醇在常规静脉尿路造影中低剂量使用时诊断安全且非常有效。

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