放射性核素肾图用于评估脊髓脊膜膨出患者尿动力学预期的上尿路梗阻情况。

Radionuclide renography to evaluate urodynamically expected upper tract obstruction in patients with meningomyelocele.

作者信息

Zwiers W, van Driel M F, de Ruiter B J, Beekhuis H, Piers B A, de Jonge M C

机构信息

Department of Urologic Surgery, University Hospital Groningen, The Netherlands.

出版信息

J Urol. 1987 Oct;138(4):845-6. doi: 10.1016/s0022-5347(17)43393-3.

DOI:10.1016/s0022-5347(17)43393-3

PMID:3656543

Abstract

Radionuclide renography showed an obstructed pattern in 6 patients with meningomyelocele without dilatation of the upper urinary tract or reflux when the bladder was filled to the volume that during previous urodynamic testing had resulted in an intravesical pressure of 40 cm. water but not when these patients were studied with an empty bladder. Therefore, this study indicates that treatment should be directed at avoiding long-standing intravesical pressure exceeding 40 cm. water in patients with meningomyelocele.

摘要

放射性核素肾图显示，6例脊髓脊膜膨出患者在膀胱充盈至先前尿动力学检查中导致膀胱内压达40cm水柱时，呈现梗阻型表现，且上尿路无扩张或反流，但膀胱空虚时检查则未出现这种情况。因此，本研究表明，对于脊髓脊膜膨出患者，治疗应旨在避免膀胱内压长期超过40cm水柱。