| 摘要: |
| [摘要] 目的 探讨分肾功能（DRF）在成人单侧先天性肾盂输尿管连接部梗阻（UPJO）手术前后肾功能评价中的价值。方法 选取2008年1月—2012年12月诊断为成人单侧先天性UPJO患者32例，术前利用肾动态显像测定分肾功能,将患者分为3组（DRF≥40% I组 10例，30%≤DRF＜40% II组 14例，DRF<30% III组 8例）。术后6个月再次复查并与手术前进行比较。 结果 术前患肾DRF≥40%（I组），术后患肾功能平均提高(2.18±3.25)%，与术前相比差异无显著性意义（P=0.463）；术前患肾30%≤DRF＜40%(II组)，术后患肾DRF平均提高（11.37±3.82）%，与术前相比差异有显著性意义（P=0.000）；DRF＜30%(III组)术前术后平均DRF分别为（22.18±2.73）%和（24.35±3.56）%，差异无显著性意义（P>0.05）。结论 DRF能预测UPJO解除梗阻后肾功能的恢复情况。30%≤DRF＜40%患者术后肾功明显改善，DRF≥40% 与DRF＜30%患者术后肾功能无明显改善。 |
| 关键词: 肾功能 肾盂输尿管连接部梗阻 肾盂成形术 |
| DOI：10.11724/jdmu.2014.03.12 |
| 分类号: |
| 基金项目:基金项目：辽宁省自然科学基金项目（20082205） |
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| Value of differential renal function in the assessment of renal function before and after pyeloplasty in adults with unilateral congenital ureteropelvic junction obstruction |
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JU Wen-bin 1， LIU Hao 2，TIAN Ai-juan 3, SUN Wei-bing 4，WANG Qi-chao 11,2,3,4
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1.Graduate School, Dalian Medical University, Dalian 116044, China;2.Seven-year Clinical Medicine, Dalian Medical University, Dalian 116044, China;3.Department of Nuclear Medicine, the Second Affiliated Hospital of Dalian Medical University, Dalian 116027, China;4.Department of Urology, the Second Affiliated Hospital of Dalian Medical University, Dalian 116027, China
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| Abstract: |
| [Abstract] Objective o discuss the value of differential renal function in the assessment of renal function before and after adult unilateral congenital ureteropelvic junction obstruction pyeloplasty. Methods From January 2008 to December 2012, 32 cases with adult unilateral congenital ureteropelvic junction obstruction were selected, whose differential renal function (DRF) was measured preoperatively by Renal dynamic imaging. The patients were divided into three groups according to the preoperative DRF: Group I (n=10), DRF≥40%; Group II (n=14), 30%≤DRF<40%; Group III (n=8), DRF<30%. The patients’ DRF were re-examined 6 months post-operation and were compared to those of pre-operation. Results For patients who had preoperative DRF ≥40% (Group I), postoperative DRF improved （2.18±3.25)% on average although the difference is not statistically significant (P=0.463). For patients who had preoperative DRF≥30% and <40% (Group II), the mean postoperative DRF improved （11.37±3.82)%, significantly different from the preoperative DRF (P=0.000). For patients who had preoperative DRF <30% (Group III), the preoperative DRF and postoperative DRF were （22.18±2.73)% and （24.35±3.56)%, respectively (P>0.05). Conclusion DRF can predict the recovery of renal function after pyeloplasty. The patients with 30%≤DRF＜40% have significantly improved renal function after surgery; whereas, the patients with DRF≥40% or DRF＜30% have no significant renal function improvement. |
| Key words: [Key words] renal function ureteropelvic junction obstruction pyeloplasty |
