Die Isotopennephrographie

  • J. Eigler
Part of the Handbuch der Inneren Medizin book series (INNEREN, volume 8 / 0)

Zusammenfassung

Als Isotopennephrographie bezeichnet man ein nierendiagnostisches Verfahren, bei dem mit zwei Szintillationszählern nach intravenöser Injektion einer mit einem radioaktiven Element markierten harnpflichtigen Substanz die Radioaktivität von außen über beiden Nieren gemessen wird. Die graphische Registrierung der Impulszahlen gegen die Zeit ergibt eine Kurve, aus deren Verlauf Schlüsse auf die Funktion einer oder beider Nieren gezogen werden können. Die über jeder Niere registrierte Radioaktivität ist die Resultante aus allen an der renalen Aufnahme und Elimination der Testsubstanz beteiligten Funktionen. Daher ist im Einzelfall eine sinnvolle Interpretation des Kurvenverlaufs nur unter Berücksichtigung klinischer Daten möglich. Das Verfahren hat als orientierende Untersuchung in der inneren Medizin und besonders in der Urologie infolge seiner relativ einfachen Durchführbarkeit und der Möglichkeit seitengetrennter Analyse eine gewisse Bedeutung erlangt. Zur genauen quantitativen Prüfung einer Nierenfunktion reicht es jedoch nicht aus.

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