THE SIGNIFICANCE OF RENOGRAM IN A LOCAL HOSPITAL:ESPECIALLY, THE SIGNIFICANCE FOR PREOPERATIVE RENAL FUNCTION TEST

概要

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This hospital used renogram as the first renal function test, especially in preoperative examination.<BR>From 1978 to 1980, total renograms of 2760 times with 1810 cases were examined. Of 548 cases in department of surgery except for urology undergoing operation, 240 cases indicating abnormal renogram patterns were investigated about the significance of renogram as preoperative renal function test.<BR>Following results were obtained.<BR>1) Only 4 cases which have almost no functions were stopped undergoing surgical procedure by renogram. 2) 476 cases which indicated normal, unilateral damaged and slightly damaged renogram patterns did not needed concerns in pre-and postoperative renal function. All of 39 cases showing moderately damaged renogram patterns were managed well on the basis of preoperative renogram pattern, resulting in radical operation without exacerbation of renal function. 3) Severely damaged patterns of 4/25 and non-functioning patterns of 2/8 brought to death by accompanying postoperative renal failure. 4) In spite of nearly low and flat patterns, 6 of 8 cases had temporasy mecovery without giving up their operations.<BR>The above may prove the usefulness of renogram as preoperative renal function test. Besides, it was beneficial that exclusion of IVP and PSP-test in patients more than 90% had been possible.
北関東医学会の論文