中国医疗设备2017，Vol.32Issue(5)：94-97,101,5.DOI:10.3969/j.issn.1674-1633.2017.05.024
肾动态显像在肾占位性病变中的临床应用价值
Clinical Application Value of Renal Dynamic Imaging in Renal Space-Occupying Lesions
王莹 1邓长林 2杨鹏飞 1李艳梅 1李娟1
作者信息
- 1. 宁夏医科大学总医院 核医学科,宁夏银川 750004
- 2. 银川市第一人民医院神经内科,宁夏 银川 750001
- 折叠
摘要
Abstract
Objective To explore the application value of renal dynamic imaging in diagnosis and treatment of renal space-occupying lesions. Methods A total of 169 patients with renal space-occupying preoperative underwent 99mTc-DTPA renal dynamic imaging, to observe and summarize the blood supply of renal space-occupying lesions in renal dynamic imaging. The relationship between renal function and Glomerular Filtration Rate (GFR) was observed in 96 patients with malignant tumors who were postoperative followed up successfully. Results In the 169 cases of kidney placeholder, there are 148 cases with malignant tumor and 21 cases with benign lesion. Of 148 patients with malignant tumor, 117 cases of blood flow on the phase performance is positive; 84.7% of clear cell carcinoma and 20% of papillary renal cell carcinoma had early blood supply; 2 and 3 scores is the common grades in malignant tumor group, and benign tumor group is given priority to with 0 and 1, the difference of blood perfusion score was statistically significant (χ2=27.957,P<0.01). The lesions in diameter of 3~10 cm were significantly higher than the lesions in diameter less than 3 cm or more than 10 cm in early blood supply (χ2=19.182,P<0.01). When the contralateral kidney GFR was ≥30 mL/min before surgery, renal function could maintain the normal level after surgery. And when the contralateral kidney GFR was <30 mL/min, abnormal renal function mostly appeared. Conclusion Although renal dynamic imaging has less value in qualitative diagnosing compared with type-B ultrasonic and Computed Tomography Urography (CTU), but contribute to disease prognosis evaluation.关键词
肾动态显像/肾占位性病变/99mTc-DTPA/肾小球滤过率/SPECTKey words
renal dynamic imaging/renal space occupying lesions/99mTc-DTPA/glomerular filtration rate/SPECT分类
医药卫生引用本文复制引用
王莹,邓长林,杨鹏飞,李艳梅,李娟..肾动态显像在肾占位性病变中的临床应用价值[J].中国医疗设备,2017,32(5):94-97,101,5.
