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[放射性同位素检查在孕期诊断尿路结石中的价值(作者译)]

[The value of radio-isotope investigations of the urinary tract for the diagnosis of urinary tract calculi during pregnancy (author's transl)].

作者信息

Voigt R, Stoll W, Arndt J

出版信息

Geburtshilfe Frauenheilkd. 1980 Oct;40(10):863-7. doi: 10.1055/s-2008-1037230.

Abstract

According to the literature, urinary tract calculi are a rare complication of pregnancy. Because of the radiation effect of excretory urography on mother and fetus, intravenous pyelography can only rarely be used for the diagnosis of calculi in pregnancy. A sequential radio-isotope nephrogram and the simultaneous determination of the J 131 hippurate clearance equivalents were used in two pregnant patients. The cases are reported. The results are discussed and compared to reports in the literature. The exposure to radiation is about 50 mrem for radio-isotope nephrography compared to from 500 to 4000 mrem for excretory urography. Radio-isotope nephrography is therefore useful for the preliminary diagnosis of urinary tract calculi in pregnancy and the simultaneous clearance determination yields additional data on the function of the urinary tract.

摘要

据文献记载,尿路结石是妊娠罕见的并发症。由于排泄性尿路造影对母亲和胎儿有辐射影响,静脉肾盂造影很少用于妊娠期结石的诊断。两名孕妇采用了连续放射性同位素肾图及同时测定碘131马尿酸盐清除率当量的方法。现报告病例,并对结果进行讨论,同时与文献报道进行比较。放射性同位素肾图的辐射暴露约为50毫雷姆,而排泄性尿路造影的辐射暴露为500至4000毫雷姆。因此,放射性同位素肾图对妊娠期尿路结石的初步诊断有用,同时进行清除率测定可获得有关尿路功能的更多数据。

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