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タイトル透析患者における骨シンチグラフィによる骨病変の検討
タイトルヨミトウセキ カンジャ ニオケル コツ シンチグラフィ ニヨル コツ ビョウヘン ノ ケントウ
タイトル別表記Analysis of Bone Scintigraphy in Chronic Dialysis Patients
作成者片山, 節
作成者ヨミカタヤマ, セツ
作成者別表記Katayama, Setsu
作成者所属山口大学医学部
内容記述(抄録等)The dialysis period, plain roentgenography, hemological tests and bone mineral content were studied dividing bone scintigraphic patterns in 120 dialysis patients due to the chronic renal failure into 5 groups (A-E). Moreover, variations of its patterns in 103 patients in whose chronological changeable observation is available were studied. In group A (6 cases) observed strong accumulation in the cranial bone and jaw bone by bone scintigraphy, salt and pepper signs in the cranial bone by plain roentgenography, high level of PTH and ALP, and swelling of parathyroid gland in all cases were detected. In group B (11 cases) being sporadically observed hot spot by slightly high background and group C (33 cases) without observing hot spot by high bakground, fracture and pseudo-fracture were observed by plain roentgenography. The similar results in both group B and group C were observed by hemological tests. The transfer from group E to others or from otheis to, group E, and mutual transfer of group B and group C were chronologically observed. In group D (6 cases) being acrresponded with accumulated site was observed by plain roentgenography. In group E (64 cases) showing normally accumulated pattern, cases revealing fracture and pseudo-fracture were observed by plain roentgenography. The transfer in other groups in majority cases, and transfer from group B and group C in some cases were chronologically observed. From the above-mentioned results, classification of the bone scintigraphic patterns and its chronological observation were oonsidered to be very useful for evaluation of the pathology and variation of osseous lesions in dialysis patients.
本文言語jpn
著者キーワード骨シンチグラフィ
腎性骨異栄養症
二次性副甲状腺機能亢進症
骨軟化症
異所性石灰化
主題医学
資料タイプtext
出版者山口大学医学会
出版者ヨミヤマグチ ダイガク イガッカイ
NII資料タイプ学術雑誌論文
査読の有無査読あり
ISSN0513-1731
NCIDAN00243156
学内刊行物(紀要等)山口医学
掲載誌名山口医学
42
5
開始ページ301
終了ページ310
発行日1993-10
著者版/出版社版その他
リポジトリIDB030042000502
地域区分山口大学
URIhttp://www.lib.yamaguchi-u.ac.jp/yunoca/handle/B030042000502