利尿性腎臟超音波在輸尿管外傷之臨床應用

Clinical Application of Diuretic Renosonography in Patients with Ureteral Trauma

10.6440/TZUCMJ.199509.0203

何澤文(Chak-Man Ho)；許悌(Tsi Hsu)；張世忠(Shin-Chung Chang)；郭漢崇(Hann-Chorng Kuo)

輸尿管外傷 ； 利尿性腎臟超音波 ； 輸尿管阻塞 ； ureteral trauma ； diuretic renosongrapgy ； ureteral obstruction

慈濟醫學雜誌

7卷3期（1995 / 09 / 01）

203 - 209

繁體中文

本文在探討利尿性腎臟超音波在輸尿管外傷之臨床應用，利尿性腎臟超音波檢查病人須先攝取1000c.c.飲用水，再靜脈注射利尿劑-Furosemide 40mg，在0至60分鐘內作一系列的腎臟超音波檢查。本文共有四位輸尿管外傷病患，檢查包括腎臟超音波、靜脈腎盂攝影術及利尿性腎臟超音波。結果顯示，此種撿查能分辨病患之腎水腫是屬於遺留性腎水腫或輸尿管阻塞引起之腎水腫。

A study was made of the clinical application of diuretic renosongraphy in patients with ureteral trauma. The test comprised an initial renal sonography followed by oral intake of 1000 ml of water and intravenous intake of 40 mg of furosemide; further renosonography was carried out from 5 to 60 minustes later. Four ureteral trauma patients were included in this study. The results were compared with those of standard renosonogrphy and intravenous pyelography. They indicate that the technique is of considerable value. It can make the vital distinction between dilatation due to atonicity on the standard renosonography or intravenous pyelography and that caused by genuine ureteral obstruction.