MD  >> Vol. 7 No. 1 (March 2017)

    肾动态显像评价肾结石积水患肾术后功能修复程度的研究
    Renal Dynamic Imaging to Evaluation Repaired Degree of Renal Function in Postoperative in Renal Calculus with Effusion Patients

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作者:  

孙雯,谢权,陈鸿颜,潘卫民:海南医学院第一附属医院,海南 海口

关键词:
肾动态显像肾结石并积水肾小球滤过率Renal Dynamic Imaging Renal Calculus with Effusion Renal Glomerular Filtration Rate

摘要:

目的:应用99mTc-DTPA肾动态显像评估肾结石并积水患者术后患肾残余功能的恢复情况。方法:经B超和静脉肾盂造影(IVP)确诊为肾结石并积水的患者30例(患肾53只),所有患者手术前后均进行99mTc-DTPA肾动态显像测定分肾肾小球滤过率(glomerular filtration rate, GFR)。结果:30例受检患者的53只患肾术前99mTc-DTPA肾动态显像均提示有残余肾功能,其中功能重度受损患肾27只,术前GFR为(6.16 ± 2.06) ml/min,术后GFR为(11.06 ± 5.96) ml/min;功能中度受损患肾22只,术前GFR为(17.13 ± 5.58) ml/min,术后GFR为(24.43 ± 7.20) ml/min;功能轻度受损患肾4只,术前GFR为(36.51 ± 4.71) ml/min,术后GFR为(46.67 ± 3.77) ml/min。肾功能轻度受损组、中度受损组及重度受损组与术前相比,GFR均有明显升高,差异有统计学意义,(P < 0.05)。结论:99mTc-DTPA肾动态显像不仅能够提供分肾的GFR值,而且能够早期、无创的评价肾结石并积水患者术后患肾(分肾)功能恢复情况,为手术决策提供可靠的参数。

[Objective] Application of 99mTc-DTPA renal dynamic imaging to evaluation of residual renal function in postoperative patients with renal calculus with effusion. [Methods] 30 cases of renal calculus with effusion patients diagnosed by ultrasonic and intravenous pyelography (IVP) (53 kidneys), renal glomerular filtration rate (GFR) were measured by 99mTc-DTPA renal dynamic imaging in all preoperative and postoperative patients. [Results] 53 kidneys all have residual renal function by renal dynamic imaging in preoperative in 30 cases of patients, 27 kidneys with Severe functional impairment, preoperative GFR (6.16 ± 2.06) ml/min, postoperative GFR (11.06 ± 5.96) ml/min; moderate impairment of renal function in 22 Kidneys, preoperative GFR (17.13 ± 5.58) ml/min, postoperative GFR (24.43 ± 7.20) ml/min; 4 kidneys with Impaired renal function, preoperative GFR (36.51 ± 4.71) ml/min, postoperative GFR (46.67 ± 3.77)ml/min. Compared with the preoperative group, GFR was significantly increased in all three groups, the difference was statistically significant(P < 0.05). [Conclusions] 99mTc-DTPA renal dynamic imaging can not only provide the renal GFR, but also can assess the repaired degree of renal function in postoperative patients, provide reliable parameters for surgical decision-making.

文章引用:
孙雯, 谢权, 陈鸿颜, 潘卫民. 肾动态显像评价肾结石积水患肾术后功能修复程度的研究[J]. 医学诊断, 2017, 7(1): 1-5. https://doi.org/10.12677/MD.2017.71001

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