静脉肾盂造影(IVP).ppt

静脉肾盂造影（IVP）,主讲人：,Introduction:,Anintravenouspyelogram(IVP)isaspecialx-rayexamofthekidneys,bladder,andureters(thetubesthatcarryurinefromthekidneystothebladder).,HowtheTestisPerformed,AnIVPisdoneinahospitalradiologydepartmentorahealthcareprovidersoffice.,HowtheTestisPerformed,1.Youmaybeaskedtotakesomemedicinetoclearyourbowelsbeforetheproceduretoprovideabetterviewoftheurinarytract.Youwillneedtoemptyyourbladderrightbeforetheprocedurestarts.,HowtheTestisPerformed,2.Yourproviderwillinjectaniodine-basedcontrastintoaveininyourarm.Aseriesofx-rayimagesaretakenatdifferenttimes.Thisistoseehowthekidneysremovethedyeandhowitcollectsinyoururine.,HowtheTestisPerformed,3.Acompressiondevice(awidebeltcontainingtwoballoonsthatcanbeinflated)maybeusedtokeepthecontrastmaterialinthekidneys.4.Youwillneedtoliestillduringtheprocedure.Thetestmaytakeuptoanhour.,HowtheTestisPerformed,5.Beforethefinalimageistaken,youwillbeaskedtourinateagain.Thisistoseehowwellthebladderhasemptied.,6.Youcangobacktoyournormaldietandmedicinesaftertheprocedure.Youshoulddrinkplentyoffluidstohelpremoveallthecontrastdyefromyourbody.,HowtheTestisPerformed,Ureteralcompression,4,TakeX-rayimages,3,Clearyourbowel,emptyyourbladder,1,Injectacontrast,2,Drinkmorewatertohelpremovethecontrast,6,Urinateagainbeforethefinalimage,5,Review,HowtheTestwillFeel?,HowtheTestwillFeel?,Youmayfeelaburningorflushingsensationinyourarmandbodyasthecontrastdyeisinjected.Youmayalsohaveametallictasteinyourmouth.Thisisnormalandwillgoawayquickly.Somepeopledevelopaheadache,nausea,orvomitingafterthedyeisinjected.Thebeltacrossthekidneysmayfeeltightoveryourbellyarea.,WhytheTestisPerformed?,AnIVPcanbeusedtoevaluate:kidneystonesAnabdominalinj