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99m锝二乙三胺五乙酸利尿肾图在慢性血吸虫性和非血吸虫性梗阻性尿路病手术评估中的应用

99mTc DTPA diuretic renography in the evaluation of surgery in chronic schistosomal and non-schistosomal obstructive uropathy.

作者信息

Bahar R H, Sabha M, Kouris K, Britton K E, Ali Y M, Awdeh M, Abdel-Dayem H M, Nilsson T

机构信息

Department of Nuclear Medicine, Faculty of Medicine, University of Kuwait.

出版信息

Br J Urol. 1990 Aug;66(2):137-43. doi: 10.1111/j.1464-410x.1990.tb14890.x.

Abstract

The selection of patients with chronic obstructive uropathy for surgery is difficult because of problems in identifying true obstruction in a grossly dilated urinary tract. This is especially so in schistosomal (bilharzial) obstructive uropathy. A prospective study of 90 patients (68 with chronic schistosomal and 22 with non-bilharzial obstructive uropathy) was carried out. All patients underwent pre-operative and post-operative radionuclide 99mTc DTPA diuretic renography (RDR). The aims were to assess the value of RDR in the pre- and post-operative management of these patients and whether it could predict the outcome of surgery. Distinctive renogram patterns were identified in patients who required surgical management. These were found useful in monitoring the results and in predicting the outcome of surgery.

摘要

由于在严重扩张的尿路中识别真正梗阻存在困难,因此选择慢性梗阻性尿路病患者进行手术具有挑战性。在血吸虫性(曼氏血吸虫病)梗阻性尿路病中尤其如此。对90例患者(68例慢性血吸虫病患者和22例非血吸虫性梗阻性尿路病患者)进行了一项前瞻性研究。所有患者均接受了术前和术后放射性核素99mTc DTPA利尿肾图检查(RDR)。目的是评估RDR在这些患者术前和术后管理中的价值,以及它是否能够预测手术结果。在需要手术治疗的患者中识别出了独特的肾图模式。发现这些模式有助于监测结果和预测手术结果。

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