河北医学Issue(6):943-945,3.DOI:10.3969/j.issn.1006-6233.2015.06.021
核素肾动态显像对单侧梗阻性肾病围手术期肾功能改变的评估
Evaluation for Renal Functional Changes of Unilateral Obstructive Nephropathy in Perioperative Period by Radionuclde Renal Dynamic Imaging
郭利 1王志勇 2迟强 2张政伟 1邱玙 1李红阳1
作者信息
- 1. 承德医学院,河北 承德 067000
- 2. 承德医学院附属医院泌尿外科,河北 承德 067000
- 折叠
摘要
Abstract
Objective:To probe the value of radionuclide renal dynamic imaging for evaluating the renal functions of unilateral obstructive nephropathy before and after the operations .Method: 68 patients diag-nosed as unilateral obstructive nephropathy were observed. Before the operation, glomerular filtration rate ( GFR) by 99mTc-DTPA Radionuclide renal dynamic imaging and the levels of Scr ,BUN,CysC were detec-ted divided them into 4 groups by the extent that GFR descended of kidney on the dysfunctional side :normal group (Group A) including 18 patients,low group (Group B) with 25 patients,mid group with(Group C)20 patients and high group(Group D)5 patients.On the seventh day after operation GFR and items above men-tioned were compared with before the operation .Result:In group B and C , the GFR value increased and the differences were statistically significant (P<0.05).In group A and D, the GFR values didn't change signally and the differences were not statistically significant (P>0.05).In all groups the Scr,BUN and CysC values didn't change, and the differences were not statistically significant (P>0.05).Conclusion:Radionuclide re-nal dynamic imaging is superior to Scr ,BUN and CysC , which can precisely evaluate the difference of renal function before and after operations , and provide significant value to clinical treatment .关键词
梗阻性肾病/核素肾动态显像/肾小球滤过率/肾功能Key words
Obstructive nephropathy/Radionuclide renal dynamic imaging/Glomerular filtra-tion/Renal function引用本文复制引用
郭利,王志勇,迟强,张政伟,邱玙,李红阳..核素肾动态显像对单侧梗阻性肾病围手术期肾功能改变的评估[J].河北医学,2015,(6):943-945,3.