Pediatrik Hastalarda Manyetik Rezonans Ürografi İle İntravenöz Piyelografinin Etkinliğinin Karşılaştırılması

Gökhan Polat
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Abstract

Objective: Intravenous pyelography (IVP) is a method of showing renal functions and anatomical features. However, it is not appropriate to use it in the pediatric age group because of ionizing radiation. For this reason, we are trying to evaluate urinary pathologies with magnetic resonance urography (MRU), which has become popular in recent years. In our study, we aimed to investigate the differences between MRU and IVU, showing dilution of urinary system. Materials and Methods: Male and female rats were administered with L-thyroxine intraperitoneally at a dose of 0.2 mg/kg for 21 days to induce hyperthyroidism. Morris water maze (MWM) was used to assess learning and memory performance. Results: There was no significant difference in the detection of pelvicalyceal dilatation between MRU and IVP (P <0.0001). MRU was found to be effective in evaluating parenchymal pathologies and in determining the underlying pathologies in patients with no nephrogram phase in IVP. Conclusion: There was no significant difference in the detection of pelvicalyceal dilatation between MRU and IVP (P <0.0001). MRU was found to be effective in evaluating parenchymal pathologies and in determining the underlying pathologies in patients with no nephrogram phase in IVP.
目的:静脉肾盂造影(IVP)是一种显示肾脏功能和解剖特征的方法。然而,由于电离辐射,不宜在儿科年龄组使用。因此,我们正尝试用近年来流行的磁共振尿路造影(MRU)来评估泌尿系统的病理。在我们的研究中,我们旨在探讨MRU和IVU之间的差异,显示泌尿系统的稀释。材料与方法:雄性和雌性大鼠分别腹腔注射l -甲状腺素0.2 mg/kg,连续21 d诱导甲状腺功能亢进。Morris水迷宫(Morris water maze, MWM)评估大鼠的学习和记忆能力。结果:MRU与IVP对盆腔扩张的检测差异无统计学意义(P <0.0001)。发现MRU在评估实质病理和确定IVP无肾图期患者的潜在病理方面是有效的。结论:MRU与IVP对盆腔扩张的检测差异无统计学意义(P <0.0001)。发现MRU在评估实质病理和确定IVP无肾图期患者的潜在病理方面是有效的。
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