摘要
目的 通过核素肾动态显像 ,观察肾脏的大小、影像、对示踪剂的摄取及功能参数 ,探讨其在急、慢性肾功能衰竭的诊断和鉴别意义。方法 经临床及生化检测确诊急性肾功能衰竭 10例、慢性肾功能衰竭 15例 ,均做99Tcm-EC及99Tcm-DTPA肾动态显像。分别测两组各病例的肾脏与腹主动脉的平均放射性计数比值 (K/A)、功能相肾脏摄取高峰值 (KP)、双肾的大小 (Area)、有效肾血浆流量 (ERPF)和肾小球滤过率 (GFR)。结果 经统计分析两组间的K/A、KP、Area、GFR、ERPF等各参数均有显著差异 (P <0 0 1)。结论 核素肾动态显像在检测分肾功能的同时还能从肾脏的大小、形态、功能、血流灌注等方面情况 ,能对急。
Objective To analyze the value of diagnosis and differential diagnosis of dynamic renal scintigraphy via observation on renal size,imaging,uptake of tracer agent and functional parameters in acute and chronic renal failure.Methods Ten patients with acute renal failure and fifteen patients with chronic renal failure were confirmed using clinical and biochemical analyse,all patients underwent 99 Tc m-EC and 99 Tc m-DTPA dynamic renal scintigraphy. Two groups functional imaging were analyzed separately,then counted out kidney and aorta mean counts specific value (K/A),kidney uptake high peak value (KP),kidney size (Area),effective renal plasma flow(ERPF),glomerular filtration rate(GFR).Results There was significant difference among above parameters in two groups (P<0 01), respectively.Conclusions The radionuclide dynamic renal scintigraphy has significant value in diagnosis and differential diagnosis of acute and chronic renal failure.
出处
《中国医师杂志》
CAS
2003年第3期300-301,共2页
Journal of Chinese Physician
