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肾图对肾结核早期诊断价值的探讨

Evaluation of renogram in early diagnosis of renal tuberculosis

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【作者】 马世盐宋群陈华瑞孝延龄

【Author】 Ma Shiyan. Song Qun, Chen Huarei and Xiao Yanling(3rd Teaching Hospital, N Bethune Univ Med Sci; Erdaohezi District Hospital, Changchun;Beijing Friendship Hospital, Beijing)

【机构】 白求恩医科大学第三临床学院核医学科长春二道河子区第二医院北京友谊医院白求恩医科大学第三临床学院核医学科

【摘要】 放射性核素肾图与169例手术、病理诊断的肾结核符合率高于B型超声和X—线肾盂造影,其阳性率高于并早于大部分临床和实验室检查。所提出的肾图改变特征有助于对该病的认识和鉴别诊断,结合其他检查,肾图可作为对早期肾结核筛选性诊断方法。

【Abstract】 Operative diagnoses and pathological examinations were made in 169 patients with renal tuberculosis.Prior to the operation,radionuclear renography,ultrasonic scanning and X-ray renography were performed.Complete agrcement (100%)was seen in radionuclear renogram and this was better than ultrasonic scanning (95.3%) and X-ray renography(96.4%).In renography, the positive results were higher and appeared earlier than the bulk of clinical and experimental examinations. Combined with other examinations, renogram may be an ideal screening method in early diagnosis of renal tuberculosis.

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