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肾盂输尿管连接部梗阻患儿肾实质功能的放射性同位素评估:一项回顾性研究。

Radioisotopic evaluation of the renal parenchymal function in children with ureteropelvic junction obstruction. A retrospective study.

作者信息

Piepsz A, Hall M, Ham H R, Perlmutter N, Collier F

出版信息

Eur J Pediatr. 1986 Aug;145(3):207-10. doi: 10.1007/BF00446067.

DOI:10.1007/BF00446067
PMID:3533550
Abstract

Separate glomerular filtration rates were evaluated in 21 children with uni- or bilateral ureteropelvic junction stenosis, using the Tc-99m DTPA complex and the scintillation camera. The grade of alteration seen on urograms has influenced the surgeon in his decision to use a conservative or a surgical treatment, whereas the type of intervention (pyeloplasty or nephrectomy) was mainly based on the scintigraphic quantitation. The morphological data provided by an excretory urogram could not predict the degree of functional impairment. The scintigraphic evaluation of single kidney clearance was useful in the evaluation of the effects of medical and surgical treatment.

摘要

利用锝-99m二乙三胺五乙酸复合物和闪烁照相机,对21例单侧或双侧肾盂输尿管连接部狭窄的儿童进行了单独的肾小球滤过率评估。尿路造影所见的改变程度对外科医生决定采用保守治疗还是手术治疗产生了影响,而干预类型(肾盂成形术或肾切除术)主要基于闪烁扫描定量分析。排泄性尿路造影提供的形态学数据无法预测功能损害的程度。单肾清除率的闪烁扫描评估在评估药物和手术治疗效果方面很有用。

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Radioisotopic evaluation of the renal parenchymal function in children with ureteropelvic junction obstruction. A retrospective study.肾盂输尿管连接部梗阻患儿肾实质功能的放射性同位素评估:一项回顾性研究。
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本文引用的文献

1
Ureteropelvic junction obstruction in infants and children: functional evaluation of the obstructed kidney preoperatively and postoperatively.婴幼儿输尿管肾盂连接部梗阻:梗阻性肾术前及术后的功能评估
J Urol. 1981 Oct;126(4):509-12. doi: 10.1016/s0022-5347(17)54599-1.
2
Separate renal function in children with vesicoureteric reflux.膀胱输尿管反流患儿的单独肾功能
Acta Paediatr Belg. 1981 Jan-Mar;34(1):21-5.
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Progression to end-stage renal disease in children with obstructive uropathy.
J Pediatr. 1982 Feb;100(2):183-7. doi: 10.1016/s0022-3476(82)80631-8.
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A co-operative study on the clinical value of dynamic renal scanning with deconvolution analysis.
Br J Radiol. 1982 Jun;55(654):419-33. doi: 10.1259/0007-1285-55-654-419.
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Renal function in obstructive nephropathy: long-term effect of reconstructive surgery.梗阻性肾病中的肾功能:重建手术的长期影响
Pediatrics. 1975 Nov;56(5):740-7.
6
Measurement of separate kidney clearance by means of 99mTc-DTPA complex and a scintillation camera.利用99mTc-DTPA复合物和闪烁照相机测量单个肾脏清除率。
Eur J Nucl Med. 1977 Sep 30;2(3):173-7. doi: 10.1007/BF00257276.
7
Renal function in patients with hydronephrosis.肾积水患者的肾功能
Br J Urol. 1977 Aug;49(4):249-55. doi: 10.1111/j.1464-410x.1977.tb04130.x.
8
A simple method for measuring separate glomerular filtration rate using a single injection of 99mTc-DTPA and the scintillation camera.
J Pediatr. 1978 Nov;93(5):769-74. doi: 10.1016/s0022-3476(78)81074-9.
9
Idiopathic hydronephrosis--the diuresis renogram: a new non-invasive method of assessing equivocal pelvioureteral junction obstruction.
J Urol. 1979 Feb;121(2):153-5. doi: 10.1016/s0022-5347(17)56703-8.
10
Kidney scintigraphy with 99mTc-DMSA and 131I-hippurate.用99mTc-DMSA和131I-马尿酸进行肾脏闪烁扫描。
Scand J Urol Nephrol. 1979;13(3):275-81. doi: 10.3109/00365597909179537.