【摘要】 用９９ｍＴｃ－ＤＴＰＡ肾动态显像对２６例正常人及２３例肾小球肾炎患者进行了观察。按肾功能影像从浓到淡将肾小球肾炎分成肾炎１、２、３组。结果表明：３组均有全肾平均通过时间延长、２０ｍｉｎ／高峰升高及肾脏指数下降。随着肾影的变淡，ＧＦＲ呈明显下降趋势（Ｐ＜０．０１），本底计数／高峰肾脏计数呈明显增高趋势（Ｐ＜０．０１）。肾炎２组已有较明显的肾功能异常，应进行积极有效的非透析治疗。肾炎３组的肾功能严重受损，应进行透析治疗。结论：肾动态显像在客观评价肾小球肾炎患者的肾功能方面有重要价值，可用于对慢性肾衰进行分期并帮助确定治疗方案。更多还原

【Abstract】 Twenty six normal volunteers and 23 patients(pts) with glomerular nephritis were evaluated with radionuclide renal dynamic imaging.The results showed that the changes of two kidneys were same and there was no hydronephrosis.The kidney mean transit times were prolonged,20 min counts/peak counts were raised and renal index was reduced in three groups.The differences of GFR and background counts/kidney counts among three groups were highly significant.The renal function in the second group pts with glomerular nephritis was poor and should be given good but not dialysis therapy.The renal function in the third group was very poor and should be given dialysis therapy.The value with renal dynamic imaging assessing the renal function in pts with glomerular nephritis was high.The renal dynamic imaging could help selecting the methods of treatment.更多还原