非离子和离子造影剂对犬泌尿系统静脉造影的研究

D. Yadav, Rukmani Dewangan, R. Sharda, Seema Mandavi, Sumeet Pal
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引用次数: 0

摘要

本研究比较了非离子型(碘己醇)和离子型(钠和异位肼)造影剂在犬静脉尿路造影中的成像质量。将12只临床健康成年犬随机分为两组,每组雌雄各6只。在静脉尿路造影后的调查中获得了两个相关的x线片,即腹背和右侧的x线片,以评估在全身麻醉下分别使用非离子和离子造影剂@ 1100 mg I/kg体重的成像质量的有效性。两组在给药后立即进行造影剂的影像学检查,然后在间隔5、15、30分钟进行腹部腹背侧位片检查。根据肾造影、肾盂造影和膀胱造影的分期对所获得的尿图进行评价。I组动物肾图期显示良好(2+),II组动物肾图期显示轻微(1+)。ⅰ组肾图期持续15分钟,而ⅰ组肾图期持续15分钟;II组持续5分钟仍明显可见。两组的肾盂造影期间隔可达5 ~ 15分钟。两组在间隔15 ~ 30min时膀胱造影期显示良好。结论是非离子型低渗透碘己醇,剂量率为1100mg /kg,与离子型高渗透钠和异位三聚氰胺相比,在相同剂量率下,静脉尿路造影的图像质量更好。
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Intravenous urographic study of urinary system in canine using non-ionic and ionic contrast agent
The present study was conducted to compare the imaging quality of non-ionic (iohexol) and ionic (sodium and meglumine diatrizoate) contrast agents for intravenous urography in dogs. Twelve clinically healthy adult dogs were randomly divided into two groups I and II, consisting six dogs of either sex in each. Two relevant radiographic exposures i.e. ventro-dorsal and right lateral views were obtained in survey following intravenous urography to evaluate the effectiveness of imaging quality using both non-ionic and ionic contrast agents @ 1100 mg I/kg body weight respectively under general anaesthesia. The radiographic examination of the contrast agent in both groups was assessed immediately after their administration and then at 5, 15, 30 minutes interval by taking ventro-dorsal/lateral radiograph of abdomen. The obtained urograms were evaluated on the basis of nephrogram, pyelogram and cystogram phases. Nephrogram phase showed good visualization (2+) in animals group I as compared to group II which was slightly visualized (1+). The nephrogram phase persisted for a period of 15 minutes in ventro-dorsal radiograph in group I whereas; it was clearly visible upto 5 minute duration in group II. The pyelogram phase was visible upto 5 to 15 minutes time interval in both the groups. Cystogram phase showed good visualization between 15 to 30 minute interval in both the groups. It was concluded that intravenous urography using non-ionic low osmolar iohexol at dose rate of 1100 mg I/kg produced better image quality as compared to ionic high osmolar sodium and meglumine diatrizoate following administration of same dose rate.
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