盆腔异位肾肾动态显像前后位像GFR测定值的差异比较

Comparing the difference of measured GFR of ectopic pelvic kidney between anterior and posterior imaging processing in renal dynamic imaging

  • 摘要:
    目的 比较分析盆腔异位肾肾动态显像前、后位像肾小球滤过率(GFR)测定值的差异。
    方法 回顾性分析10例盆腔异位肾患者的肾动态显像GFR测定结果, 分别进行前位异位单肾处理和后位双肾处理, 将后位像处理所获正常肾脏GFR与前位像处理所获异位肾GFR相加, 获得总肾GFR, 并与后位像处理所获双肾GFR和双血浆法GFR测定结果进行比较和相关性分析, 并进行了相应随访。采用配对t检验法和双变量相关分析检验法对数据进行统计学分析。
    结果 10例盆腔异位肾患者前位像处理所获异位肾GFR(27.48±12.24)ml/(min·1.73 m2)较后位像处理所获异位肾GFR(10.71±4.74)ml/(min·1.73 m2)高出46%, 二者间差异有统计学意义(t=5.481, P < 0.01)。前位像处理所获总GFR与双血浆法GFR差异无统计学意义(t=-2.238, P>0.05), 二者的相关性较好(r=0.704, P < 0.05);后位像处理所获总GFR与双血浆法GFR差异有统计学意义(t=4.629, P < 0.01), 二者的相关性较差(r=0.576, P>0.05)。
    结论 在肾动态显像中, 前位像处理所获GFR较后位像更能真实地反映盆腔异位肾的功能状况。

     

    Abstract:
    Objective To compare and analyze the difference of measured glomerular filtration rate(GFR)of ectopic pelvic kidney between anterior and posterior imaging processing in renal dynamic imaging.
    Methods Methods There were 10 patients collected retrospectively, with ectopic kidneys in pelvic cavity confirmed by ultrasound, CT, renal dynamic imaging and other imaging modalities. All images of ectopic kidneys in renal dynamic imaging were processed by anterior and posterior methods respectively. The ectopic kidney was only processed in anterior imaging, ectopic kidney and contralateral normal kidney were processed in posterior imaging. Total GFR equalled the sum of GFR of normal kidney in posterior imaging and GFR of ectopic kidney in anterior imaging, was compared with total GFR of two kidneys in posterior imaging and GFR in two-sample method. Allcorrelation analysis were completed between GFRs from three methods and all patients were followed up. Statistically paired t-test and bivariate correlation analysis test were used.
    Results The mean GFR of ectopic kidney in anterior imaging equal to(27.48±12.24) ml/(min·1.73 m2). It was more than GFR(10.71±4.74) ml/(min·1.73 m2) in posterior imaging above 46%(t=5.481, P < 0.01). There was no significant difference(t=-2.238, P>0.05), but better correlation(r=0.704, P < 0.05)between total GFR in anterior imaging and GFR in two-sample method. There was significant difference(t=4.629, P < 0.01)and worse correlation(r=0.576, P>0.05)between total GFR in posterior imaging and GFR in two-sample method.
    Conclusions Comparing with GFR in posterior imaging, GFR in anterior imaging can more truly reflect function condition of ectopic pelvic kidney in renal dynamic imaging.

     

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