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利尿肾图在小儿肾积水的评估和管理中的应用:我们学到了什么?

Diuresis renography in the evaluation and management of pediatric hydronephrosis: What have we learned?

机构信息

Department of Urology, University of Florida College of Medicine, Gainesville, FL, USA.

Department of Radiology, Children's National Health System, Washington, DC, USA.

出版信息

J Pediatr Urol. 2019 Apr;15(2):128-137. doi: 10.1016/j.jpurol.2019.01.011. Epub 2019 Jan 28.

DOI:10.1016/j.jpurol.2019.01.011
PMID:30799171
Abstract

Diuresis renography (DR) is widely used in the evaluation of hydronephrosis and hydroureter in infants and children. The goal of this provocative nuclear imaging examination should be to detect the hydronephrotic kidneys at risk for loss of function and development of pain, hematuria, and urinary tract infection. The reliability of DR is dependent on the acquisition and processing of the data as well as interpretation and utilization of the results. In this review, the key concepts of standardized DR and pitfalls to avoid are highlighted.

摘要

利尿肾图(DR)广泛用于评估婴儿和儿童的肾盂积水和输尿管积水。该有创核医学成像检查的目的应该是检测有功能丧失风险和发展为疼痛、血尿和尿路感染风险的积水肾。DR 的可靠性取决于数据的获取和处理以及结果的解释和利用。在本综述中,重点介绍了标准化 DR 的关键概念和需要避免的陷阱。

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J Pediatr Urol. 2019 Apr;15(2):128-137. doi: 10.1016/j.jpurol.2019.01.011. Epub 2019 Jan 28.
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Consensus on diuresis renography for investigating the dilated upper urinary tract. Radionuclides in Nephrourology Group. Consensus Committee on Diuresis Renography.用于评估上尿路扩张的利尿肾图检查共识。核素在肾脏病学组。利尿肾图检查共识委员会。
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Evaluation of dilated upper renal tracts by technetium-99m ethylenedicysteine F+O diuresis renography in infants and children.锝-99m 乙二巯基丁二酸 F+O 利尿肾图对婴幼儿和儿童扩张上尿路的评估
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"Well-tempered" diuresis renography: its historical development, physiological and technical pitfalls, and standardized technique protocol.“适度”利尿肾图:其历史发展、生理及技术陷阱与标准化技术方案
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Renal pelvis volume during diuresis in children with hydronephrosis: implications for diagnosing obstruction with diuretic renography.肾盂积水患儿利尿期肾盂容积:对利尿肾图诊断梗阻的意义
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Observation of infants with SFU grades 3-4 hydronephrosis: worsening drainage with serial diuresis renography indicates surgical intervention and helps prevent loss of renal function.对 SFU 分级 3-4 级积水的婴儿进行观察:连续利尿肾动态显像显示引流情况恶化,提示需要手术干预,有助于防止肾功能丧失。
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Diuresis renography. A simultaneous comparison between 131I-hippuran and 99Tcm-MAG3.利尿肾图。131I-马尿酸与99Tcm-巯基乙酰三甘氨酸的同步比较。
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Contradictory renal function measured with mercaptoacetyltriglycine diuretic renography in unilateral hydronephrosis.单侧肾积水时用巯基乙酰三甘氨酸利尿肾图测量出现矛盾的肾功能。
J Urol. 1995 Oct;154(4):1486-9; discussion 1489-90.

引用本文的文献

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Role of Technetium-99m-Ethylenedicysteine in the Calculation of Differential Renal Function: A Comparison Study with Dimercaptosuccinic Acid Renal Scintigraphy.锝-99m-乙二巯基丁二酸在分肾功能计算中的作用:与二巯基丁二酸肾闪烁显像的比较研究
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Managing Ureteropelvic Junction Obstruction in the Young Infant.
婴幼儿肾盂输尿管连接部梗阻的处理
Front Pediatr. 2020 May 27;8:242. doi: 10.3389/fped.2020.00242. eCollection 2020.