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利尿性肾图在小儿肾盂输尿管连接部梗阻致肾积水诊断中的作用
引用本文:蔡冰,陈方,谢华,耿红全,徐卯升,薛皓亮,李佳宁,吴靖川,刘国华,李衷初. 利尿性肾图在小儿肾盂输尿管连接部梗阻致肾积水诊断中的作用[J]. 中华小儿外科杂志, 2003, 24(5): 424-426
作者姓名:蔡冰  陈方  谢华  耿红全  徐卯升  薛皓亮  李佳宁  吴靖川  刘国华  李衷初
作者单位:1. 200092,上海第二医科大学附属新华医院上海儿童医学中心小儿外科
2. 200092,上海第二医科大学附属新华医院上海儿童医学中心核医学科
摘    要:目的探讨以利尿性肾图替代静脉尿路造影对小儿肾盂输尿管连接部梗阻引起的肾积水进行诊断的可能性.方法对1995年8月至2001年10月间的52例同时行静脉尿路造影和利尿性肾图检查并进行了肾盂成形术的病例进行回顾性分析,男47例,女5例,年龄0.2~13岁(平均6.5岁).结果本组52例静脉尿路造影对梗阻部位判断有52例(100%)正确;利尿性肾图检查后,52例患儿梗阻部位的判断也都(100%)正确.静脉尿路造影和利尿性肾图在梗阻部位诊断上差异没有显著性意义(P>0.05).结论在诊断小儿肾盂输尿管连接部梗阻上,以利尿性肾图来替代静脉尿路造影是可行的.

关 键 词:利尿性肾图 小儿 肾盂输尿管连接部梗阻 肾积水 诊断 作用
修稿时间:2002-12-10

Using diuretic renogram in diagnose pediatric hydronephrosis due to anomalies of pyeloureteral junction
CAI Bing,CHEN Fang,XIE Hua et al. Using diuretic renogram in diagnose pediatric hydronephrosis due to anomalies of pyeloureteral junction[J]. Chinese Journal of Pediatric Surgery, 2003, 24(5): 424-426
Authors:CAI Bing  CHEN Fang  XIE Hua et al
Affiliation:Shanghai Children's Medical Center
Abstract:Objective To explore the possibility of diuretic renogram instead of intravenous urogra-phy to diagnose pediatric hydronephrosis due to anomalies of pyeloureteral junction. Methods From Aug.1995 to Oct. 2001, 52 children(47 boys and 5 girls) with hydronephrosis who underwent both diureticrenogram and intravenous urography before dismembered pyeloplasty were retrospectively analyzed. The ag-ing ranged 2 months to 13 years with a mean of 6.5 years. Results Accuracy of intravenous urography is100% in comfirming the site of obstruction, so did diuretic renogram, There were no differences betweendiuretic renogram and intravenous urography in diagnosis of obstruction of pyeloureteral junction (P>0.05). Conclusion It is applicable to use diuretic renogram instead of intravenous urography to diagnosehydronephrosis caused by obstruction of pyeloureteral junction.
Keywords:Radioisotope renography  Hydronphrosis  Ureteral obstruction
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