低张法和腹部加压法对猫排泄性尿路造影的影响
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摘要
为了提升猫泌尿系统造影技术并提供相关疾病诊断方法,采用低张法和腹部加压法,分别以420 mg/kg、720 mg/kg、1 020 mg/kg剂量的碘海醇为造影剂,进行静脉注射,对猫排泄性尿路造影进行了研究。试验结果显示:在低张组,肾盂和输尿管在造影剂注射后180～300 s显影最佳;在腹部加压组,肾盂和输尿管在造影剂注射后300～600 s显影最佳。在低张组,造影图像质量随碘海醇剂量的增加而增加(1 020 mg/kg>720 mg/kg> 420 mg/kg),而在腹部加压组,随碘海醇使用剂量增加,造影图像质量变化不明显,低剂量碘海醇(420 mg/kg)就能够达到诊断要求。腹部加压法优于低张法,可以用于猫泌尿系统的相关研究及临床诊断。
To improve the urography technique of urinary system in cats and provide the diagnostic methods for related diseases,both methods of low tension and abdominal compression were adopted by the doses of 420 mg/kg,720 mg/kg and 1 020 mg/kg iohexol as radiocontrast agent to explore the excretory urography technique of cats. The results show that in the low tension group,pelvis and ureter show best development effect at 180 ～ 300 s after radiocontrast agent injection. In the abdominal compression group,pelvis and ureter show best development effect at 300 ～ 600 s after radiocontrast agent injection. The quality of urography image increases with the increase of iohexol doses in low tension group( 1 020 mg/kg > 720 mg/kg > 420 mg/kg),but the quality of urography image has no significant changes with the increase of iohexol doses in abdominal compression group. Low doses iohexol( 420 mg/kg) meets the diagnostic requirements. The abdominal compression method is superior to the low tension method,which can be used in related study and clinical diagnosis of the urinary system in cats.
To improve the urography technique of urinary system in cats and provide the diagnostic methods for related diseases,both methods of low tension and abdominal compression were adopted by the doses of 420 mg/kg,720 mg/kg and 1 020 mg/kg iohexol as radiocontrast agent to explore the excretory urography technique of cats. The results show that in the low tension group,pelvis and ureter show best development effect at 180 ～ 300 s after radiocontrast agent injection. In the abdominal compression group,pelvis and ureter show best development effect at 300 ～ 600 s after radiocontrast agent injection. The quality of urography image increases with the increase of iohexol doses in low tension group( 1 020 mg/kg > 720 mg/kg > 420 mg/kg),but the quality of urography image has no significant changes with the increase of iohexol doses in abdominal compression group. Low doses iohexol( 420 mg/kg) meets the diagnostic requirements. The abdominal compression method is superior to the low tension method,which can be used in related study and clinical diagnosis of the urinary system in cats.
引文
[1]李前勇,张德志,王庆华,等.改良腹部压迫法行中小型犬排泄性尿路造影的探讨[J].中国兽医杂志,2011,47(7):55-57.
[2]饶志文,夏卓娅. 83例DR非压迫性排泄性尿路造影技术探讨[J].医药前沿,2013(27):380.
[3]周泓宇,李剑曦,李红萍.采用改良法数字X线摄影对300例静脉肾盂造影病例的观察与分析[J].大家健康,2017,11(25):67.
[4]苏晓颖.静脉肾盂造影检查术的护理体会[J].中国医药指南,2017,15(7):268.
[5]李博鑫,杨俊辉,叶芳红,等.静脉肾盂造影综合性改良技术的临床应用[J].甘肃医药,2017,36(6):449-451.
[6] VADEN S L,ELLIOTT J. Management of proteinuria in dogs and cats with chronic kidney disease[J]. Veterinary clinics(small animal practice),2016,46(6):1115-1130.
[7] RHEA V M. Handbook of small animal practice[M]. 5th ed. Chatswood:Elsevier Health Sciences,2008:40-55.
[8]巴特尔,谢庭树,张盛云.犬静脉泌尿系造影术研究[J].兽医大学学报,1989,9(1):76-80.
[9]周庆国,邓富文,何锐灵,等.犬消化道与泌尿道X线造影方法探讨[J].动物医学进展,2004,25(3):80-82.
[10]彭勃.犬四种静脉肾盂造影技术的比较研究[D].北京:中国农业大学,2005.
[11]杨天帅,王海燕,韩大雄.新型非离子型单体碘造影剂的合成[J].中国现代应用药学,2013,30(8):843-847.
[12]聂洪奎,孙宝荣,寇文海,等.低张静脉肾盂造影术介绍[J].中华放射学杂志,1985,19(2):105-106.
[13]彭勃,谢富强.低剂量腹部加压快注法和双剂量免压快注法对犬行静脉肾盂造影的对比研究[J].中国兽医杂志,2005,41(10):43-45.
[14]郭信男.犬数字化X线(DR)下排泄性尿路造影方法的比较研究[D].延吉:延边大学,2016.
[15]杨银学,杨淑霞. 654-2低张静脉肾盂造影[J].农垦医学,2001,23(4):263-264.
[16]李风刚,刘舒萍.大剂量静脉尿路造影的临床应用价值[J].中国医学工程,2012,20(4):56.
[2]饶志文,夏卓娅. 83例DR非压迫性排泄性尿路造影技术探讨[J].医药前沿,2013(27):380.
[3]周泓宇,李剑曦,李红萍.采用改良法数字X线摄影对300例静脉肾盂造影病例的观察与分析[J].大家健康,2017,11(25):67.
[4]苏晓颖.静脉肾盂造影检查术的护理体会[J].中国医药指南,2017,15(7):268.
[5]李博鑫,杨俊辉,叶芳红,等.静脉肾盂造影综合性改良技术的临床应用[J].甘肃医药,2017,36(6):449-451.
[6] VADEN S L,ELLIOTT J. Management of proteinuria in dogs and cats with chronic kidney disease[J]. Veterinary clinics(small animal practice),2016,46(6):1115-1130.
[7] RHEA V M. Handbook of small animal practice[M]. 5th ed. Chatswood:Elsevier Health Sciences,2008:40-55.
[8]巴特尔,谢庭树,张盛云.犬静脉泌尿系造影术研究[J].兽医大学学报,1989,9(1):76-80.
[9]周庆国,邓富文,何锐灵,等.犬消化道与泌尿道X线造影方法探讨[J].动物医学进展,2004,25(3):80-82.
[10]彭勃.犬四种静脉肾盂造影技术的比较研究[D].北京:中国农业大学,2005.
[11]杨天帅,王海燕,韩大雄.新型非离子型单体碘造影剂的合成[J].中国现代应用药学,2013,30(8):843-847.
[12]聂洪奎,孙宝荣,寇文海,等.低张静脉肾盂造影术介绍[J].中华放射学杂志,1985,19(2):105-106.
[13]彭勃,谢富强.低剂量腹部加压快注法和双剂量免压快注法对犬行静脉肾盂造影的对比研究[J].中国兽医杂志,2005,41(10):43-45.
[14]郭信男.犬数字化X线(DR)下排泄性尿路造影方法的比较研究[D].延吉:延边大学,2016.
[15]杨银学,杨淑霞. 654-2低张静脉肾盂造影[J].农垦医学,2001,23(4):263-264.
[16]李风刚,刘舒萍.大剂量静脉尿路造影的临床应用价值[J].中国医学工程,2012,20(4):56.