125I-碘酞酸盐临床应用进展

125I-iothalamate clinical applications

  • 摘要: 125I-碘酞酸盐在美国应用至今已超过半个多世纪。其主要应用于评价肾小球滤过率(GFR), 特别是在肝肾移植患者中肾功能的评价上具有非常重要的作用, 具有方法简单、准确的特点。目前国内大多采用内生肌酐清除率、99Tcm-DTPA肾动态显像或者99Tcm-DTPA双血浆法来测定GFR。但这些方法评估GFR的价值有限。笔者将系统阐述125I-碘酞酸盐的原理、方法、临床应用、辐射安全等, 以期为国内临床应用奠定基础。

     

    Abstract: 125I-iothalamate or Glofil-125 has been widely applicated in the US more than half a century. It mainly applies to the evaluation of glomerular filtration rate(GFR), particularly a very important role in liver and kidney transplant patients on monitoring of renal function. This is a simple, accurate method. However, most of the current domestic use of endogenous creatinine clearance rate, 99Tcm-DTPA renal dynamic imaging or 99Tcm-DTPA double plasma method to determine the GFR. However, these methods had a limited value to assessment GFR. This article describes the system 125I-iothalamate principles, methods, clinical applications, radiation safety, etc., in order to lay the foundation for domestic clinical application.

     

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