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[高血压患者慢性肾盂肾炎时肾脏的动态闪烁显像]

[Dynamic scintigraphy of the kidneys during chronic pyelonephritis in patients with arterial hypertension].

作者信息

Kramer A A, Belichenko O I, Arabidze G G

出版信息

Med Radiol (Mosk). 1985 Mar;30(3):32-9.

PMID:3982254
Abstract

It has been shown that latent renal diseases are detected by sectoral scintigraphy earlier than by other methods, and the former acquires particular importance when the only sign of disease is arterial hypertension. Early diagnosis of latent pyelonephritis makes this method especially valuable both for the selection of patients for further thorough examination and for the start of adequate therapy. Scintigraphy serves as a reliable criterion for the evaluation of the therapeutic efficacy in patients with chronic pyelonephritis (CP). Changes of scintigraphy parameters coincide quite exactly with the changed level of arterial pressure, concentration and nitrogen clearing function of the kidneys during treatment. This method (sectoral scintigraphy) is very important when used over time in CP patients with chronic renal insufficiency making it possible to detect with a sufficient degree of significance the improvement as well as impairment of renal function which is a crucial point for the choice of further therapeutic tactics.

摘要

业已表明,扇形闪烁扫描术比其他方法能更早地检测出潜在的肾脏疾病,当疾病的唯一迹象是动脉高血压时,扇形闪烁扫描术就显得尤为重要。早期诊断潜在肾盂肾炎,使得这种方法对于选择患者进行进一步的全面检查以及开始适当治疗都特别有价值。闪烁扫描术是评估慢性肾盂肾炎(CP)患者治疗效果的可靠标准。闪烁扫描参数的变化与治疗期间动脉血压、肾脏浓缩和氮清除功能的变化水平相当精确地吻合。当对患有慢性肾功能不全的CP患者长期使用这种方法(扇形闪烁扫描术)时,它非常重要,因为它能够以足够显著的程度检测出肾功能的改善和损害,而这是选择进一步治疗策略的关键所在。

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