Verboven M, Achten R, Keuppens F, Jonckheer M, Piepsz A
Department of Pediatrics, Academic Hospital, V.U.B., Brussels, Belgium.
Urology. 1988 Oct;32(4):370-4. doi: 10.1016/0090-4295(88)90249-x.
Cortical and whole kidney radionuclide transit parameters were studied in 16 patients who underwent a pyeloplasty for unilateral pelviureteral junction (PUJ) obstruction. As expected, the whole kidney mean transit time was found to be very sensitive but, due to the low specificity, not very helpful in the distinction between obstructed and nonobstructed kidneys. The cortical transit reflected, in some cases, the favorable surgical outcome. In other cases, however, it could not be considered as a reliable parameter of the clinical status, since it was found to be normal preoperatively and prolonged postoperatively in patients whose parenchymal function improved significantly after surgery and who had their clinical symptoms relieved.
对16例因单侧肾盂输尿管连接部(PUJ)梗阻而行肾盂成形术的患者进行了皮质和全肾放射性核素通过参数研究。正如预期的那样,发现全肾平均通过时间非常敏感,但由于特异性低,在区分梗阻性和非梗阻性肾脏方面帮助不大。皮质通过时间在某些情况下反映了良好的手术结果。然而,在其他情况下,它不能被视为临床状态的可靠参数,因为在术后实质功能显著改善且临床症状缓解的患者中,术前发现其正常,术后延长。