本文關(guān)鍵詞： 利尿腎圖、腎積水 梗阻性腎病　出處：《山西醫(yī)科大學(xué)》2014年碩士論文　論文類型：學(xué)位論文

【摘要】：實驗?zāi)康模?.利尿腎圖在鑒別梗阻性與非梗阻性腎積水中的臨床意義。2.評價利尿性腎圖對患腎功能的評估,已決定是否保留患腎。 實驗方法：本項研究選取山西醫(yī)科大學(xué)第二醫(yī)院2012年06月～2013年03月門診及住院患者中泌尿系彩超呈一側(cè)腎功能良好,對側(cè)腎積水的病例45例,涉及45側(cè)腎輸尿管。1.對所有患者進(jìn)行全面系統(tǒng)的檢查,明確病因。2.再對這些患者進(jìn)行利尿腎圖檢查,測定患腎腎功能并根據(jù)圖像曲線變化結(jié)果,結(jié)合患者確切診斷,計算出利尿腎圖在診斷梗阻性與非梗阻性腎積水的確診率。3.將部分梗阻和完全梗阻患者根據(jù)利尿腎圖測定的腎功能指標(biāo),按照標(biāo)準(zhǔn)分為輕、中、重度三組。4.對這三組患者進(jìn)行手術(shù)或其他方式解除梗阻。5.術(shù)后三個月復(fù)查利尿腎圖并記錄腎功能。6.比較各組手術(shù)前后平均GFR值,采用配對t檢驗,以確定腎功能損害到何種程度時,可直接切除患腎,無需解除梗阻。 實驗結(jié)果： 一、利尿腎圖能較準(zhǔn)確的區(qū)分梗阻性與非梗阻性腎積水。確診率為84.4% 二、當(dāng)腎功能嚴(yán)重受損(GFR小于10ml/min/1.73m2)時,解除梗阻后腎功能無顯著變化,若對側(cè)功能良好,可選擇切除患腎,預(yù)防患腎出現(xiàn)反復(fù)感染等并發(fā)癥。 結(jié)論： 1.利尿性腎圖在診斷梗阻性與非梗阻性腎盂擴(kuò)張方面有重要意義。2.根據(jù)檢驗結(jié)果利尿腎圖能夠較準(zhǔn)確的對患腎功進(jìn)行評估,已決定手術(shù)是否保留患。
[Abstract]:Objective: 1.The clinical significance of diuretic nephrography in differentiating obstructive and non-obstructive hydronephrosis. Methods: from June 2012 to March 2013 in the second Hospital of Shanxi Medical University, the renal function of one side was good in the outpatients and inpatients. 45 cases of contralateral hydronephrosis involved 45 sides of renal ureter. 1. All patients were examined systematically, and the etiology was determined. 2. Diurethrography was performed on these patients. The renal function of the patients was determined and the diagnosis was combined with the results of the changes of the image curve. Calculate diuretic nephrogram in the diagnosis of obstructive hydronephrosis and non-obstructive hydronephrosis diagnosis rate. 3. Partial obstruction and complete obstruction according to the diuretic nephrogram measurement of renal function indicators, according to the criteria divided into light, moderate. Severe three groups. 4. The three groups of patients were operated on or other ways to relieve the obstruction. 5. Check the diuretic nephrogram three months after operation and record the renal function. 6. Compare the average GFR value before and after operation in each group. A paired t test was used to determine the extent of renal function damage, without removing obstruction. Experimental results: One, diuretic nephrogram can distinguish obstructive and non-obstructive hydronephrosis more accurately. The diagnosis rate is 84.4%. Second, when GFR was less than 10 ml / min / 1.73 m ~ (2), there was no significant change in renal function after relieving obstruction. If the contralateral function was good, the affected kidney could be resected. To prevent complications such as repeated infection of the affected kidney. Conclusion: 1. Diuretic nephrography is of great significance in the diagnosis of obstructive and non-obstructive dilatation of the renal pelvis. 2. According to the results of the test, diuretic nephrography can accurately evaluate the renal function of the patients and has decided whether to retain the patients.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R692

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 張春麗,李乾,左力,崔盈,王彥福,郭鳳琴,趙光宇,張旭初,周玉紅,王榮福;腎動態(tài)顯像法與雙血漿法測定腎小球濾過率的對比分析[J];北京大學(xué)學(xué)報(醫(yī)學(xué)版);2004年06期

2 尚玉琨,孔令山,潘文舟;不同本底感興趣區(qū)對顯像法測定腎小球濾過率的影響[J];第二軍醫(yī)大學(xué)學(xué)報;2003年01期

3 黃向陽;單光子發(fā)射型電子計算機(jī)斷層掃描測定腎小球濾過率與傳統(tǒng)方法比較研究[J];廣西醫(yī)學(xué);1999年03期

4 鐘久慶;蔣叔凱;宋樂明;胡敏;彭作鋒;郭樹林;杜傳策;朱倫峰;姚磊;;梗阻腎尿液pH值與HCO_3-測定對梗阻解除后腎功能的評價研究[J];江西醫(yī)藥;2007年01期

5 蔣寧一;劉雄英;胡瑩瑩;張弘;劉生;梁九根;盧獻(xiàn)平;劉幸光;陳少雄;;~(99m)Tc-DTPA腎動態(tài)顯像對IVP不顯影患腎功能的評價[J];中國臨床醫(yī)學(xué)影像雜志;2007年07期

6 呂志勇,劉保軍,陳福寶,李娟;~(99)Tc~m-DTPA腎動態(tài)顯像對靜脈腎盂造影不顯影患腎功能評價的臨床研究[J];寧夏醫(yī)學(xué)雜志;2005年02期

7 劉楓;倪順梅;朱風(fēng)玉;;利尿腎圖臨床應(yīng)用的初步探討[J];寧夏醫(yī)學(xué)雜志;1987年01期

8 張繼武;張策;何軍明;向松濤;朱麗娟;鄒泓;;梗阻性腎病治療前后的分側(cè)腎小球濾過率測定的相關(guān)性分析[J];中國輻射衛(wèi)生;2006年04期

9 張權(quán),何小鋼;SPECT測定GFR與臨床Ccr對比[J];江蘇醫(yī)藥;1997年04期

10 董怡;王文平;;醫(yī)學(xué)影像學(xué)技術(shù)定量評價腎功能研究進(jìn)展[J];上海醫(yī)學(xué)影像;2007年03期

，

本文編號：1483722