Using Tc-99m DMSA renal crtex scan to detect renal damage in women with type 2 diabetes

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Title:	Using Tc-99m DMSA renal crtex scan to detect renal damage in women with type 2 diabetes
Authors:	吳錫金(Wu,Hsi-Chin);(Chao-Hsiang Chang);賴明美(Ming-May Lai);林正介(Cheng-Chieh Lin);李正淳(Cheng-Chun Lee);高嘉鴻(Chia-Hung Kao)
Contributors:	醫學院醫學系學士班泌尿學科;中國附醫泌尿部
Keywords:	Type 2 diabetes mellitus;Tc-99m DMSA renal scan;Urinary tract infection
Date:	2003
Issue Date:	2009-08-20 18:48:51 (UTC+8)
Abstract:	Women with diabetes mellitus (DM) have urinary tract infection (UTI) more often than women without DM. It is unknown, however, what the prevalence and type of renal damage due to UTI is in these women. Therefore, in this study, we compared type 2 DM women with or without UTI history for the prevalence and type of renal damage by technetium-99m dimercapto-succinic acid (Tc-99m DMSA) renal scan. A total of 128 type 2 DM women with or without UTI history received Tc-99m DMSA renal scan were included in this study. The patients were separated into three groups: (1) 43 patients without UTI history, (2) 42 patients with only lower UTI (cystitis) history and (3) 43 patients with upper UTI (pyelonephritis) history. The renal scan findings were separated into three types: (A) normal, (B) inflammation and (C) scar. The 31.9% (50/128) of type 2 DM patients had renal damages. Group 1 patients had a significantly lower prevalence of renal damages including inflammation and scar as compared to Groups 2 and 3 patients. In addition, the prevalence of renal damage was significantly higher in Group 3 than in Group 2 patients. Renal scars only were visualized in Group 3 patients. However, other clinical data were not statistically different among the three group patients. Type 2 DM women with UTI history, especially if they had upper UTI have a significantly higher prevalence of renal damage than in those without UTI.
Relation:	JOURNAL OF DIABETES AND ITS COMPLICATIONS 17(5):297~300
Appears in Collections:	[School of Medicine] Journal articles

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