ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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Evaluation Of Renal Hemodynamics With Furosemide Induced Doppler Ultrasonography In Urinary Obstruction
Bora Küpelİ*, Fuat Demİrel**, Meral Doğan***
* Uzm.Dr.,Gazi Üniversitesi Tıp Fakültesi, Üroloji AD,** Uzm.Dr.,SSK Ankara Eğitim Hastanesi 2. Üroloji Kliniği,*** Uzm.Dr.,SSK Ankara Eğitim Hastanesi Radyoloji Kliniği, ANKARA
Renal Doppler Ultrasonography can often be used as a non - invasive method in determination of obstructive and non - obstructive hydronephrosis. However, there is not yet any concensus about the interpretation of the "Resistive Index" (RI) which is an important analytic method of Doppler images. In this study, 18 patients who had obstructive hydronephrosis were evaluated with Doppler examination before and after furosemide injection. Changes in pelvic diameters and the mean value of RI from 3 interlober arteries of each kidney were calculated. Mean pelvic diameter increased from 19.13 mm to 27.06 mm after furosemide injection. Mean RI value also increased from 0.604±0.125 to 0.634±0.135 after injection, however, this was particularly more evident in pediatric age group whereas there were no statistically significant difference in adults. As a conclusion, we think that RI values are increasing in obstructive kidneys with induction of renal diuresis in all patients but especially in pediatric age group and Doppler ultrasonography together with furosemide injection can be used as an effective diagnostic tool in obstructive hydronpehrosis.
Keywords: Urinary Obstruction,Doppler ultrasonogfraphy, Resistive index
Turkiye Klinikleri J Med Sci 1998, 18:180-184
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