Bahar R H, Sabha M, Kouris K, Ali Y M, Awdeh M, Nilsson T, Abdel-Dayem H M
Dept. of Nuclear Medicine, Faculty of Medicine, Mubarak Al-Kabeer Hospital, Ministry of Public Health, Kuwait.
APMIS Suppl. 1988;3:54-8.
The aim of this study was to describe the abnormal morphological and functional patterns observed in radionuclide diuretic renograms (RDR) in patients with chronic urinary schistosomiasis. A retrospective analysis of RDR for 92 patients was made. It revealed the following abnormalities: A) Morphological changes observed in the images: Pelvicalyceal retention of tracer (and dilatation) was seen in 68% of kidneys. Calyceal retention alone was seen in 5% and pelvic retention alone in 9%. An atrophic kidney was noted in 5%, nephropathic pattern in 3% and normal kidneys in 10%. Ureteric retention of tracer was seen in 64% of ureters. This was frequently associated with pelvicalyceal retention (61%) and this abnormality was bilateral in 44% of the urinary systems. B) Functional changes observed in the time activity curves: Non-obstructive delayed excretion was noted in 71% of kidneys. An obstructed kidney pattern nonresponsive to lasix was seen in 12%, plateau curve due to nephropathic kidney in 3% and atrophic kidney pattern in 4% of kidneys.
本研究的目的是描述慢性血吸虫病患者放射性核素利尿肾图（RDR）中观察到的异常形态和功能模式。对92例患者的RDR进行了回顾性分析。结果显示出以下异常情况：A）图像中观察到的形态学变化：68%的肾脏出现肾盂肾盏示踪剂滞留（及扩张）。单纯肾盏滞留见于5%的患者，单纯肾盂滞留见于9%的患者。5%的患者出现萎缩肾，3%的患者呈现肾病模式，10%的患者肾脏正常。64%的输尿管出现示踪剂滞留。这常与肾盂肾盏滞留相关（61%），并且在44%的泌尿系统中这种异常为双侧性。B）时间 - 活性曲线中观察到的功能变化：71%的肾脏出现非梗阻性延迟排泄。12%的肾脏呈现对速尿无反应的梗阻性肾模式，3%的肾脏因肾病肾出现平台曲线，4%的肾脏呈现萎缩肾模式。
