CAJ | 학술논문

目的探讨99Tcm-二亚乙基三胺五乙酸(99Tcm-DTPA)肾动态显像在单侧肾脏功能严重受损患者中的应用.方法应用99Tcm-DTPA肾动态显像,测定82例单侧肾脏功能严重受损患者的对侧肾脏肾小球滤过率(GFR),并将其与血清肌酐(SCr)值进行相关性分析,同时对对侧肾脏功能受损的病因进行分析.结果对侧肾GFR与SCr值呈负相关(r=-0.643,P<0.001);在一侧肾脏功能严重受损患者中,肾结石和泌尿系移行细胞肿瘤患者的对侧肾脏易受损害.结论单侧肾脏功能严重受损患者有必要通过99Tcm-DTPA肾动态显像密切观察对侧肾脏情况,以便及时治疗,防止对侧肾功能的衰竭.
목적 탐토99Tcm-이아을기삼알오을산(99Tcm-DTPA)신동태현상재단측신장공능엄중수손환자중적응용.방법 응용99Tcm-DTPA신동태현상,측정82례단측신장공능엄중수손환자적대측신장신소구려과솔(GFR),병장기여혈청기항(SCr)치진행상관성분석,동시대대측신장공능수손적병인진행분석.결과 대측신GFR여SCr치정부상관(r=-0.643,P<0.001);재일측신장공능엄중수손환자중,신결석화비뇨계이행세포종류환자적대측신장역수손해.결론 단측신장공능엄중수손환자유필요통과99Tcm-DTPA신동태현상밀절관찰대측신장정황,이편급시치료,방지대측신공능적쇠갈.
Objective To explore the use of evaluating split glomerular flow rate (GFR) in patients with unilateral renal function failure by 99Tcm-diethylenetrlaminepenta hydroxamic acid renal dynamic imaging. Methods Split GFR of 82 cases with unilateral renal function failure was evaluated by 99Tcm-DTPA renal dynamic imaging, and was correlated with serum creatinine (SCr). Beside, causes of renal function failure were analyzed. Results Split GFR were negatively correlated with SCr(r=-0.643, P<0.001). In the cases with unilateral renal function failure, renal calculi and urinary transitional cell carcinoma were mainly causes to injure the renal function. Conclusion It is very important of evaluating split GFR in patients with unilateral renal function failure by 99Tcm-DTPA renal dynamic imaging to treat early and reserve renal function.