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首页> 外文期刊>Indian Journal of Urology: IJU: Journal of the Urological Society of India >F+0 diuretic protocol is superior to F-15 and F+20 for nuclear renogram in children
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F+0 diuretic protocol is superior to F-15 and F+20 for nuclear renogram in children

机译：F + 0利尿剂方案在儿童核肾图检查方面优于F-15和F + 20

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Introduction:We compare the outcomes of three different diuretic protocols for renograms in children with hydronephrosis.Materials and Methods:Between August 2011 and July 2013, 148 diuretic renograms were performed to evaluate unilateral grade 3–4 hydronephrosis (reflux, posterior urethral valves, post-pyeloplasty status excluded). Patients were allotted into three groups based on the timing of diuretic administration: Diuretic given 15 min before (F-15), at the same time as (F + 0) and 20 min after (F + 20) radionuclide administration. Dynamic images and renogram curves were inspected to identify in each group (1) number of equivocal curves and (2) number of interrupted studies due to patient movement/discomfort/voiding. Statistical significance was determined by the Fisher exact test.Results:There was no significant difference in age/sex distribution between groups F-15 (n = 35), F + 0 (n = 38) and F + 20 (n = 75). The number of equivocal curves was significantly less in F + 0 (2/38) and F-15 (3/35) compared with F + 20 (20/75). The number of interrupted studies was significantly less in F + 0 (2/38) compared with F-15 (9/35) and F + 20 (18/75).Conclusion:The F + 0 and F-15 protocols are superior to the F + 20 protocol in reducing the number of equivocal curves, while the F + 0 protocol is superior to the other two in reducing interruptions due to patient movement or voiding. F + 0 is the diuretic protocol of choice for renogram in children.
机译：简介：我们比较三种不同的利尿剂方案对肾积水儿童的肾图检查的结果。材料与方法：2011年8月至2013年7月，共进行148次利尿剂肾图检查，以评估单侧3-4级肾积水（反流，后尿道瓣膜，术后-肾盂成形术状态除外）。根据利尿剂的施用时间将患者分为三组：利尿剂在（F-15）之前15分钟，在（F + 0）同时给予以及在（F + 20）放射性核素施用之后20分钟给予。检查动态图像和肾图曲线，以在每组中识别（1）模棱两可的曲线和（2）由于患者运动/不适/空洞而中断的研究数量。通过Fisher精确检验确定统计学显着性。结果：F-15组（n = 35），F + 0（n = 38）和F + 20（n = 75）之间的年龄/性别分布没有显着差异。 。与F + 20（20/75）相比，F + 0（2/38）和F-15（3/35）的模糊曲线数显着减少。与F-15（9/35）和F + 20（18/75）相比，F + 0（2/38）中被中断研究的数量明显减少。结论：F + 0和F-15方案更好与F + 20协议相比，在减少模糊曲线的数量方面，F + 0协议在减少由于患者移动或排尿引起的中断方面优于其他两个协议。 F + 0是儿童肾脏造影的利尿剂选择方案。

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