先天性肛门闭锁异位肾SPECT/CT显像一例

Ectopic kidney SPECT/CT imaging in a patient with congenital anal atresia

  • 摘要: 笔者报道了先天性肛门闭锁异位肾SPECT/CT显像一例。异位肾患者由于早期缺乏特异性的临床症状,大多数患者都是体检时偶然发现。目前诊断异位肾主要靠超声及CT,但是对异位肾分肾肾功能的评价,肾动态显像具有明显的优势。笔者通过文献复习加深了对Gate's法的认识,结合该病例得出指导性结论:1、对已发现有一器官畸形的新生儿,应该留意是否合并其他器官的畸形,做到早发现早干预;2、SPECT/CT可对异位肾的形态及功能进行一站式诊断,优势明显;3、对于特殊肾脏的肾小球滤过率的测定,Gate's法需要适当的矫正。

     

    Abstract: SPECT/CT imaging was conducted on an ectopic kidney in a patient with congenital anal atresia. Most cases of ectopic kidney are found by chance during physical examination given the lack of the specific clinical symptoms of this condition during its early stage. At present, the diagnosis of ectopic kidneys mainly depends on ultrasound and CT. Renal dynamic imaging, however, provides advantages for the evaluation of the individual functions of ectopic kidneys. Gate's method was used to detect the glomerular filtration rate of an ectopic kidney. Literature review was performed to obtain a deep understanding of Gate's method. The following guiding conclusions were drawn:1. The co-occurrence of other organ malformations in newborns with kidney malformations should receive close attention. Early detection and intervention are necessary to manage ectopic kidneys. 2. SPECT/CT enables the advantageous one-stop diagnosis of the morphology and function of ectopic kidneys. 3. Gate's method requires proper correction for the glomerular filtration rate determination of kidneys with special characteristics.

     

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