Συμβολή του νεφρογράμματος που λαμβάνεται με τη βοήθεια ραδιοϊσοτόπων ύστερα από διούρηση στη διαφορική διάγνωση των παθήσεων του ανώτερου ουροποιητικού

Between 1986-1990 in 4.348 admitions to our department, 1201 were diagnosed to have upper urinary tract disease. 214 patients were subjected to renogram, 66 of them were subjected to diuresis renogram, 27 were males and 39 females. The diuresis renogram was alone to patients with: 1) UPJ obstruction, 2) Upper urinary tract stones, 3) Stenosis or tumor of the upper urinary tract, 4) post-traumatic urinoma, 5) Contralateral hydronephrosis, caused by probable Urinary tract tuberculosis, 6) Paraureteral venous plexus dilatation, 7) Chronical Renal failure caused by obstructive uropathy, 8) Tuberculosis of the urinary tract, 9) Multicystic kidney, chronical pyelonephritis, renal failure, 10) injurie to a multicystic kidney, 12) atrophic hypoplastic kidneys. Because all the above mentioned diseases, in spite of their diversity, have many very similar symptoms, a differential diagnosis is required. For that reason we have used the diuresis renogram as an additional differential diagnosis method, as well as a post operative or after conservative therapy follow up method of our patients. The diuresis renogram was the criteria for the differential diagnosis and for the choice of therapeutic treatment to the obstructive uropathy, that is to say diversified the dilatation with obstruction from the dilatation without obstruction (anatomical or functional stenosis). At the same time the diuresis renogram was an exceptional post operative follow up method for those that had been subjected to pyeloplasty. The diuresis renogram useful as an additional method was considered aiding the differential diagnosis, therapy and follow up of patients suffering from upper urinary tract stones and TBC of urinary tract. It proved to be of a minor importance diagnostic method for all other disease of the upper urinary tract that we have dealt with. In conclusion we believe that we have proved, according to the Hellenic and International bibliographic references, that the diuresis renogram is a non-invasive, precise and harmless method, exceptionaly unique for the differential diagnosis of the obstructive uropathy and useful for other upper urinary tract diseases.

Grantor dc:publisher

Aristotle University Of Thessaloniki (AUTH)

Year dc:date

1991

Authors dc:creator

• Aidonopoulos, H.
• Αηδονόπουλος, Χαράλαμπος

• Ιατρική και Επιστήμες Υγείας
• Κλινική Ιατρική
• Medical and Health Sciences
• Clinical Medicine

Language dc:language

gre

Identifier

10.12681/eadd/1687

OAI identifier oai:identifier

oai:10442/1687