Mende T, Hennig K, Woller P
Z Gesamte Inn Med. 1977 Feb 1;32(3):88-90.
A method for the simultaneous determination of the effective renal plasma flow and of the glomerular filtration rate with the help of 131J-o-iodohippuric acid and 169Yb-DTPA using a double isotopic technique is described. Apart from this the method serves for the establishment of the filtration fraction. 40 patients with different clinical pictures (glomerulonephritis, pyelonephritis, cystic kidneys, stenosis of the renal artery) were examined. The clearance values established by us were in the areas characteristic for the clinical pictures. Pathological conditions could be established which are not yet characterized by an increase of the fixa of the urine in the serum. By the determination of the filtration fraction differential-diagnostically important insights are afforded. The examination is methodically simply to be performed and is of little stress for the patient. Therefore it seems to be suitable for the routine examination.
本文描述了一种使用双同位素技术,借助131I-邻碘马尿酸和169Yb-DTPA同时测定有效肾血浆流量和肾小球滤过率的方法。除此之外,该方法还可用于确定滤过分数。对40例具有不同临床表现(肾小球肾炎、肾盂肾炎、多囊肾、肾动脉狭窄)的患者进行了检查。我们所确定的清除率值处于各临床表现的特征范围内。可以确定一些尚未以血清中尿固定物增加为特征的病理状况。通过测定滤过分数可获得具有鉴别诊断重要意义的见解。该检查在方法上操作简单,对患者的压力很小。因此,它似乎适用于常规检查。