核素肾动态显像于术前、术后输尿管结石取石术的监测意义

Significance of nuclide renal dynamic imaging in monitoring ureterolithiasis before and after operation

目的探究在输尿管结石取石术中，手术前和手术后进行核素肾动态显像监测的意义。方法针对40例输尿管结石患者实施核素肾动态显像监测，对患者的肾部情况进行动态分析，并在手术前和手术后分别对患者的肾部情况进行对比；此外监测患者的肾功能，在手术后分析患者的。肾功能恢复情况。结果患者手术前肾小球滤过率低于手术后，差异有统计学意义。手术治疗后患者肾功能相关指标均改善，其中NGAL治疗后和治疗前比较差异无统计学意义，而Cys-C以及KIM-1治疗后和治疗前比较差异均有统计学意义（均P〈0．05）。结论核素肾动态显像于术前、术后输尿管结石取石术监测的意义在于：其能够准确反映患者肾部情况，利于临床对患者病情做出准确的诊断和分析，进而预估患者病情和走向，及时给予患者对相应的治疗方法，因此核素肾动态显像值得在临床中借鉴和使用。

Objective To explore the significance of dynamic radionuclide renal imaging in monitoring ureterolithiasis before and after operation. Methods 40 patients with ureteral calculi were monitored by renal dynamic imaging. The patients＇ renal conditions were dynamically analyzed; and the conditions before and after the operation were compared. The patients＇ renal functions were monitored. The patients＇ renal function recovery was analyzed after surgery. Results The glomerular filtration rate was lower before than after operation, with a statistical difference. All the patients＇ renal function related indicators were improved after operation; there was no statistical difference in NGAL but were in Cys-C and KIM-1 between before and after operation. Conclusion The significance of nuclide renal dynamic imaging in monitoring ureterolithiasis before and after operation is that it can reflect the patients＇ renal conditions, is helpful for the patients＇ accurate diagnosis and analysis and predict their disease conditions and outcomes, and give them corresponding treatment; so it is worth being clinically applied.