Articolul precedent |
Articolul urmator |
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Ultima descărcare din IBN: 2022-10-04 08:53 |
SM ISO690:2012 REVENCO, Adrian, CURAJOS, Boris, BERNIC, Jana, KRUŞELNIŢKAIA, Elena. Rolul scintigrafiei renale dinamice în aprecierea tacticii de tratament în hidronefroza congenitală la copii. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 632. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | |||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | |||||
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Pag. 632-632 | |||||
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Rezumat | |||||
Background. the choice of treatment tactics in advanced congenital hydronephrosis of children remains a current issue in pediatric urology. Widely used imaging examinations (renal ultrasound, urography i / v) are insufficient to assess renal function. Objective of the study. to analyze the role of dynamic renal scintigraphy in determining renal function and assessing the hydronephrosis surgical treatment tactics of children. Material and Methods. a retrospective analysis of 106 ‘ the observation sheets patients, operated with hydronephrosis in IMSP IM and C, urology department between 2016–2018. The study group included 42 girls and 64 boys, aged between 3 months and 17 years. All patients were examined, including through dynamic renal scintigraphy. Results. in 82 patients with hydronephrosis grade III, the amplitude of the low curve was appreciated, due to lower the function of the renal parenchyma, the sudden long maximum time, the excretion of the kidney slowed to 60-80%. Functional curve of the kidney - obstructive type. Uretero-pelvic-jonction plastyc surgery was performed to preserve the kidney. In 24 patients, with hydronephrosis grade IV, the amplitude of curve was suddenly low, with a prolonged circulation of PRF in the blood vessels appreciated. The kidneys PRF accumulation was less than 20% or absent. Functional curve of the kidney - isostenuritic or afunctional type. Nephrectomy was performed on this group of patients. Conclusion. Dynamic renal scintigraphy provides the most informative percentage data in the assessment of renal function. The determination of the renal parenchyma in hydronephrosis is decisive for the choice of surgical treatment tactics - plastyc or nephrectomy. |
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Cuvinte-cheie renal scintigraphy, radiopharmaceutical (PRF), hydronephrosis, scintigrafie renală, preparat radiofarmaceutic (PRF), hidronefroză |
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