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[利用99m锝-巯基乙酰三甘氨酸肾动态显像术显示新生儿穹窿破裂]

[Demonstration of a fornix rupture in a newborn using 99mtc-mag3 kidney function scintigraphy].

作者信息

Spitz J, Benz P, Rink T, Köllermann M

机构信息

Praxis RNS (Radiologie, Nuklearmedizin, Strahlentherapie, Wiesbaden, FRG.

出版信息

Nuklearmedizin. 1994 Jun;33(3):129-31.

PMID:8090629
Abstract

In male newborns posterior urethral valves are the most frequent cause of subpelvine obstructions. A male newborn had to be delivered by caesarian section in the 36th week of pregnancy due to a progressive intrauterine hydronephrosis and excessive bladder filling. The condition could temporarily be normalized by catheterisation. However, following removal of the catheter on day 5 after birth an acute deterioration in the patient's general condition occurred due to an urine ascites. Scintigraphy using 99mTc-MAG3 led to the assumption that the cause was a fornix rupture in VURD syndrome (syndrome of posterior urethral Valve, Unilateral vesicorenal Reflux and renal Dysplasia), subsequently confirmed radiologically.

摘要

在男性新生儿中,后尿道瓣膜是盆腔以下梗阻最常见的原因。一名男性新生儿因进行性宫内肾盂积水和膀胱过度充盈,在妊娠第36周时不得不通过剖宫产分娩。这种情况可通过导尿暂时恢复正常。然而,在出生后第5天拔除导管后,由于尿液性腹水,患者的一般状况急剧恶化。使用99mTc-MAG3进行的闪烁扫描显示病因可能是VURD综合征(后尿道瓣膜、单侧膀胱输尿管反流和肾发育不良综合征)中的穹窿破裂,随后经放射学证实。

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