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[慢性血液透析患者骨病(肾性骨营养不良)的临床闪烁扫描研究(初步报告)]

[Clinico-scintigraphic studies of bone disease (renal osteodystrophy) in patients on chronic hemodialysis (preliminary report)].

作者信息

Ionova D, Garcheva M, Simeonova A, Kiriakov Z

出版信息

Vutr Boles. 1988;27(2):107-12.

PMID:2842966
Abstract

10 patients with chronic renal failure (6 women, 4 men), 19 to 59 years of age, duration of the disease form 3 up to 21 years, treated by hemodialysis from 2 to 5 years, were examined. The scintigraphic examination of the bones with 99mTc pyrophosphate (166.5.10(6) MBq) on the third hour after the i.v. application of the radiocolloid, registered by the scanning device SELO-DS-2, allows the discovery of the initial changes of the so called renal osteodystrophy (bone disease in patients on chronic hemodialysis). The coefficient bones/soft tissues may be used as a quantitative index of the renal osteodystrophy in these patients whereas the coefficient calvaria/sternum has not the same diagnostic value.

摘要

对10例慢性肾衰竭患者(6名女性,4名男性)进行了检查,年龄在19至59岁之间,病程为3至21年,接受血液透析治疗2至5年。在静脉注射放射性胶体3小时后,用99m锝焦磷酸盐(166.5×10⁶MBq)对骨骼进行闪烁扫描检查,由SELO-DS-2扫描设备记录,可发现所谓肾性骨营养不良(慢性血液透析患者的骨病)的早期变化。骨/软组织系数可用作这些患者肾性骨营养不良的定量指标,而颅盖骨/胸骨系数则不具有相同的诊断价值。

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