<sup>99m</sup>Tc-DTPA肾动态显像评价上尿路结石患肾功能

^99mTc-DTPA肾动态显像评价上尿路结石患肾功能

摘要: 目的:探讨放射性核素^99mTc-DTPA肾动态显像评价上尿路结石患肾功能的临床意义。方法:回顾性分析227例上尿路结石患者的^99mTc-DTPA肾动态显像和静脉肾盂造影(IVP)检查资料。结果:在261只受检肾脏中,肾动态显像检出的有功能肾明显多于IVP检查(P<0.01)。IVP不显影的患肾124只,其中92只(74.2%)^99mTc-DTPA肾动态显像提示有放射性摄取,主要表现为2~3级,肾小球滤过率均值为24.3 ml/min。结论:^99mTc-DTPA肾动态显像是评价肾功能的理想方法,特别是对IVP不显影的患肾功能判定有重要的临床价值。

Abstract: Objective: To investigate the clinical significance of ^99mTc-DTPA renal dynamic imaging in evaluating renal function in the patients of upper urinary calculi.Methods: The results of ^99mTc-DTPA renal dynamic imaging and intravenous pyelography(IVP) in 227 patients of upper urinary stone diseases were analyzed retrospectively.Results: Out of 261 kidneys,the functional ones detected by renal dynamic imaging were much more than those detected by IVP(P<0.01).One hundred and twenty-four kidneys were not visualized by IVP,74.2% of which(92 kidneys) were indicated uptake of radionuclide by renal dynamic imaging with the average 24.3 ml/min glomerular filtration rate value.Conclusions: ^99mTc-DTPA renal dynamic imaging is an ideal method for evaluation of renal function especially in IVP detection failed patients.