呋塞米+常规剂量静脉尿路造影在尿路梗阻疾病中的诊断价值  

Diagnostic Value of Furosemide plus Conventional Dose Intravenous Pyelography in Obstructive Urinary Tract Diseases

作　　者：闫力永[1] 李云飞[2] 邹文远[1] 陈玉峰[1] 张桃桃[1] 

机构地区：[1]湖北医药学院附属人民医院放射科,湖北十堰442000 [2]湖北医药学院附属人民医院泌尿外科,湖北十堰442000

出　　处：《医学综述》2011年第2期310-311,共2页Medical Recapitulate

摘　　要：目的探讨呋塞米+静脉尿路造影对尿路梗阻疾病的诊断价值。方法 120例患者随机分为A组60例,B组和C组各30例。A组采用呋塞米+常规剂量静脉尿路造影,B组和C组分别采用普通静脉尿路造影及大剂量静脉尿路造影,造影检查后次日测空腹血尿素氮、血肌酐水平。结果呋塞米+静脉尿路造影在短时间内促进肾的排泄功能,使泌尿系统充分显影,共检出58例尿道梗阻(检出率98.33%),尿道梗阻检出率明显高于B组(P<0.01);不良反应发生率低于B组和C组(P<0.01)。造影检查后A组血尿素氮及肌酐水平正常,对肾脏无明显损害作用。结论呋塞米+静脉尿路造影能提高造影质量及泌尿系梗阻诊断的准确率。Objective To investigate the diagnostic value of furosemide and intravenous pyelography（IVP）in urinary tract obstruction.Methods One hundred and twenty patients were randomly divided into group A（n= 60）,group B（n= 30）,and group C（n=30）.Group A received furosemide and routine dose IVP,whereas group B and group C received routine dose IVP and high-dose IVP.On the day following the IVP,fasting blood nitrogen and serum creatine levels were assayed.Results Furosemide and IVP could promote the renal secretion in a short time,fully visualizing the urinary tract.Urinary tract obstruction was identified in 58（98.33%）patients,significantly higher than that in group B（P 0.01）.The incidence rate of group A was significantly lower than those in group B and group C（P 0.01）.Following the IVP,group A exhibited a normal blood nitrogen and serum creatine,without any significant adverse effects on renal function.Conclusion Furosemide and IVP could improve the IVP quality and the accuracy of Urinary tract obstruction.

关 键 词：静脉尿路造影 呋塞米 泌尿系梗阻 

分 类 号：R691.2[医药卫生—泌尿科学]