Mlŭchkov Kh, Gruev I, Boiadzhieva Z
Vutr Boles. 1985;24(1):62-9.
A scintigraphic study of the kidneys was carried out in 1780 patients with chronic pyelonephritis: 1308 with calculous and 472 with acalculous pyelonephritis. The scintigraphic finding was interpreted for each kidney separately. Diffuse damages of renal parenchyma was most often observed (47,6%), being, in the majority of the cases--bilateral. Disturbed drainage was established in 13,2%, dysfunction of one of the kidneys--in 18,8% and focal disturbed structure--in 5,4% of the kidneys studied. The results from the scintigraphic study were juxtaposed to the clinic of the disease and the data from laboratory and X-ray investigations. The scintigraphic study of the kidneys with 99m Tc-ascorbic complex is easy to perform, well tolerated by the patients, non-invasive method with no special risks, with minimal irradiation loading. Scintigraphy provides valuable information to the clinicians about the functional, structural and drainage disorders in the kidneys of patients with chronic pyelonephritis, allowing the control of the evolution of the disease and the effect of the treatment.
对1780例慢性肾盂肾炎患者进行了肾脏闪烁扫描研究：其中1308例为结石性慢性肾盂肾炎，472例为非结石性慢性肾盂肾炎。对每个肾脏的闪烁扫描结果分别进行解读。最常观察到的是肾实质弥漫性损害（47.6%），在大多数情况下为双侧性。在13.2%的病例中发现引流障碍，18.8%的病例中一个肾脏功能障碍，5.4%的受检肾脏存在局灶性结构紊乱。将闪烁扫描研究结果与疾病临床情况以及实验室和X线检查数据进行了对比。用99m锝 - 抗坏血酸复合物进行肾脏闪烁扫描研究操作简便，患者耐受性良好，是一种无创方法，无特殊风险，辐射负荷极小。闪烁扫描为临床医生提供了有关慢性肾盂肾炎患者肾脏功能、结构和引流障碍的有价值信息，有助于控制疾病进展和评估治疗效果。
