COMPLEX RADIONUCLIDE EVALUATION OF STRUCTURAL AND FUNCTIONAL KIDNEY`S DISORDERS OF CHILDREN WITH ACUTE PYELONEPHRITIS IN THE DYNAMIC OF PATHOLOGY PROCESS

  • V. U. Kundin

Abstract

Children`s acute pyelonephritis (APN) is the most important and difficult among microbes-inflammatory kidney`s deceases. Kidney`s APN functional disorders are evaluated generally by clinical and laboratory criteria which not always have high informativity. Scintigraphic kidney`s examinations with nephrothropic radiopharmaceuticals (NRP) are more informative. Materials and methods. 93 children (range 5-16 years) with APN were examined with different NRP. 45 from them were in acute stage of disease and 48 in remission. Scintigraphic examinations were being made on  gamma-camera «SPECT-1» with using of NRP 99mTc-DTPA, 99mTc-pyrophosphate, 99mTc-MAG3, 99mTc-EC, 99mTc-DMSA. Results. Hemodynamic changes in APN are presented signs of the venous stagnation by parenchyma. Retention of NRP in the kidney`s parenchyma and deceleration of excretory processes testify about the main process in parenchyma. Kidney`s filtration disorders have all patients in all stages of APN with disorders of both kidneys. 40,8% patients have inflammation sites in the kidneys parenchyma. Conclusion. The most informative are 99mTc-DTPA and 99mTc-pyrophosphate for initial examinations, 99mTc-MAG3 and 99mTc-DMSA for monitoring examinations.

Downloads

Download data is not yet available.

References

Диагностика и лечение заболеваний почек у детей / В.Г.Майданник. К., 1993.- 136с.

Клиническая нефрология детского возраста / А.В.Папаян, Н.Д.Савенкова. С.-Петербург, 1997. - 718с.

Кундін В.Ю. Динамічна реносцинтиграфія в нефрологічній практиці / В.Ю.Кундін // «Актуальні проблеми нефрології». Збірник наукових праць (випуск 8). Київ, 2003.- С.64-71.

Основы нефрологии детского возраста / А.Ф Возианов., В.Г.Майданник, В.Г.Бидний, И.В.Багдасарова. К.: Книга плюс, 2002.- 348с.

Променева діагностика : [в 2 т.] / Г.Ю.Коваль, Д.С.Мечев, Т. П. Сиваченко [та ін.] ; за ред. Г. Ю. Коваль.- К. : Медицина України, 2009. - Т. 1. - 832 с.

Старцева Л.М. Епідеміологія захворювань нирок та сечовивідних шляхів серед дитячого населення України / Л.М.Старцева, І.В.Багдасарова // Матеріали 10 зїзду педіатрів України “Проблеми педіатрії на сучасному етапі”, Київ, 1999.- ПАГ.- 1999.- №4.- С.120.

Piepsz A. Radionuclide studies in paediatric nephro-urology / A.Piepsz // Eur. J. Radiol.- 2002.- Vol.43.- P.146-153.


Abstract views: 116
PDF Downloads: 105
Published
2017-12-12
How to Cite
Kundin, V. U. (2017). COMPLEX RADIONUCLIDE EVALUATION OF STRUCTURAL AND FUNCTIONAL KIDNEY`S DISORDERS OF CHILDREN WITH ACUTE PYELONEPHRITIS IN THE DYNAMIC OF PATHOLOGY PROCESS. Ukrainian Journal of Nephrology and Dialysis, (1(33), 19-26. https://doi.org/10.31450/01-10