THE CLINICAL SIGNIFICANCE OF THE RADIONUCLIDE RENOGRAM FOR RENAL TUBERCULOSIS AN ANALYSIS OF 107 CASES[J]. Journal of Chongqing Medical University, 1985,(4):258-262.
THE CLINICAL SIGNIFICANCE OF THE RADIONUCLIDE RENOGRAM FOR RENAL TUBERCULOSIS AN ANALYSIS OF 107 CASES[J]. Journal of Chongqing Medical University, 1985,(4):258-262.DOI:
放射性核素肾图对肾结核的临床意义——107例肾图分析
摘要
本文分析了107例肾结核的肾图
其中100例作了X线造影
82例获手术、病理诊断
20例于肾切除术后复查了肾图。107例肾图全部异常
单侧肾图异常44例
双侧肾图异常63例。两侧肾图类型相同的仅1例。另62例两侧肾图类型均不相同
约 2/3病例的病变较轻一侧肾图
为不同程度的上尿路排泄障碍
另外近 1/3还伴有功能损害。患肾切除术前
对侧肾图正常和仅有轻度异常的15例
术后仍保持或恢复正常。结果表明
肾图的表现与肾结核的病理过程密切相关
对肾结核诊断和肾切除预后很有意义。
Abstract
This paper analysed the renograms in 107 cases of renal tuberculosis. In 100 cases of which x-ray examination were done
and in 82 cases the diagnosis was confirmed during operation and by pathological examination. Renograms were repeated in 20 cases after nephrectomy. The renograms showed abnoimal findings in all of the 107 cases
with unilateral abnormality in 44 cases and bilateral in 63 cases. Amony the latter
the findings of the renograms were of the same type on both sides only in 1 case and of different types in another 62 cases; in about 2/3 of these cases
there was excretory impairment of varying degree on the side with milder changes
and in approximately 1/3 of them
there was also impairment of renal function.In 15 cases had undergone nephrectomy
the renograms of the contralateral kidney were normal or slightly abnormal before operation
and remained so or recovered after nephrectomy. The above results showed that the changes in renograms were strongly correlated with the pathological findings of the tuberculous kidneys and were quite useful for the te diagnosis of renal tuberculosis and for the prognosis after nephrectomy.