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[碘帕醇与各种利尿剂联合使用的尿路造影质量]

[The quality of urography with iopamidol and various diuretic agents].

作者信息

Stacul F, Bazzocchi M, Zanella F, Abbona M, Ukovich W

出版信息

Radiol Med. 1987 Jul-Aug;74(1-2):93-6.

PMID:3112869
Abstract

The results obtained in four successive trials based on the analysis of urography performed on patients with normal kidney function are reported. The scores obtained with a non-ionic contrast (iopamidol) were compared with those produced after injecting the same contrast medium with the addition of various diuretics (furosemide, various quantities of 5% glucose solution, 20% mannitol). The results obtained by injecting the diuretic together with the iopamidol were usually unsatisfactory. Injection of diuretic 15 ms after the iopamidol gave better results in the lower urinary tract, particularly the bladder. The best results were obtained by injecting 250 ml, 20% mannitol, after 15 ms. However this technique is not applicable to patients requiring a voiding cystourethrogram due to the inadequate opacification of the urethra it provides.

摘要

报告了对肾功能正常患者进行尿路造影分析后连续四次试验获得的结果。将使用非离子型造影剂(碘帕醇)获得的分数与注射添加了各种利尿剂(呋塞米、不同量的5%葡萄糖溶液、20%甘露醇)的相同造影剂后产生的分数进行比较。将利尿剂与碘帕醇一起注射获得的结果通常不尽人意。在注射碘帕醇15毫秒后注射利尿剂在下尿路,尤其是膀胱,产生了更好的结果。在15毫秒后注射250毫升20%甘露醇获得了最佳结果。然而,由于该技术提供的尿道造影不充分,它不适用于需要进行排尿性膀胱尿道造影的患者。

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