锝Tc 99 dimercaptosuccinic酸肾显像在儿童急性肾盂肾炎:相关性与其他影像检查。
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Mohkam M, Maham年代,压力,Naghi我Otokesh B, Raiiati H,穆赫辛尼经常N, Shamshiri AR, Sharifian M, Dalirani R, R勇士,Ahoopai M
锝Tc 99 dimercaptosuccinic酸肾显像在儿童急性肾盂肾炎:相关性与其他影像检查。
伊朗肾脏J说。2010年10月;4 (4):297 - 301。
- PubMed ID
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20852370 (在PubMed]
- 文摘
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介绍。尿路感染是儿童中最常见的严重的细菌感染。本研究的目的是比较不同实验室的价值和成像技术在检测肾参与急性肾盂肾炎。材料和方法。横断面研究的患者1月14岁被诊断为尿路感染与系统性炎症标记物检查,肾超声,排尿膀胱尿道照相术(VCUG)和锝Tc 99 dimercaptosuccinic酸((99)Tc-DMSA)肾显像。共有1467名儿科患者获得治疗肾盂肾炎。评估包括完整的血细胞计数、c反应蛋白(CRP)、红细胞沉降率(ESR)、尿液、尿液文化,测量血清血尿素氮和肌酐水平。结果。(99米)的结果Tc-DMSA扫描正常20.2%,轻度降低皮质吸收45.0%,适度降低皮质吸收12.3%,严重降低12.0%,皮质吸收和减少大脑皮层功能+不规则或疤痕形成10.5%。排尿膀胱尿道照相术显示膀胱输尿管的回流在25.9%。 The sensitivity of (99m)Tc-DMSA for prediction of vesicoureteral reflux was 84.1% with a negative predictive value of 80.6%. Significant differences were found in the level of blood leukocyte count (P = .03), urine leukocyte count (P = .003), ESR (P = .008), and age (P = .04) between patients with normal and abnormal (99m)Tc-DMSA scan results. CONCLUSIONS. We found that in patient with clinical signs of pyelonephritis, (99m)Tc-DMSA renal scintigraphy can detect pyelonephritis more accurately than the other inflammatory and imaging tests.
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