Department of Radiology, Wuhan Second Hospital
The preparatory measures taken and the urographic contrast media used in this procedure, are the same as routine urographic technique, except that no pressure is applied to abdomen.
I. Methods:
(1) Acupuncture: Place the patient in supine position and puncture "Sanyinjiao", "Kunlun" and Guanyuan" points bilaterally. Puncture lightly and retain the needles for 15 minutes without twisting or turning. After puncturing, the patient was placed in photographic position and the contrast media was given intravenously within 2 minutes.
(2) Photography taking and position of the patient: Films are taken at 5, 10, 15, and 20 minutes respectively after injection of the media. Particular attention should be paid to observing the films taken at 5 and 10 minutes after injecting contrast media. According to the different conditions of individual cases some additional films may be taken, e.g. films in cases of urinary calculus, which is associated with hydronephrosis. The additional films were compared with the former ones. Films at 15th and 30th minute should be taken in order to rule out the destructive and space-occupying lesions. By this method it is not only possible to take an antero-posterior view, but also a lateral and oblique view.
II. Limitations:
The limitations of the methods are the same as those of the routine intravenous pyelography. However, the methods we used are not without their advantages. The tiny urinary calculi, retroperitoneal masses, congenital abnormalities and early changes of inflammatory lesions could be detected.
III. Effects:
From Sept. 16, 1977 to the present time, 100 cases have been treated, totaling 103 times of acupuncture intravenous pyelography. In 80 times good and better results were obtained, i.e. correct diagnosis was effected. In 23 times the results were less satisfactory. The main cause of the poor opacifications is due to ilfunctioning of kidneys.
Comparing with the compression method in our practice, acupuncture is effective in the intravenous pyelography because such method is suitable to the human's physiological conditions. This method can relieve not only the pain of the patient but also demonstrate a more truly pathological changes, thus providing a higher diagnostic rate.
The preparatory measures taken and the urographic contrast media used in this procedure, are the same as routine urographic technique, except that no pressure is applied to abdomen.
I. Methods:
(1) Acupuncture: Place the patient in supine position and puncture "Sanyinjiao", "Kunlun" and Guanyuan" points bilaterally. Puncture lightly and retain the needles for 15 minutes without twisting or turning. After puncturing, the patient was placed in photographic position and the contrast media was given intravenously within 2 minutes.
(2) Photography taking and position of the patient: Films are taken at 5, 10, 15, and 20 minutes respectively after injection of the media. Particular attention should be paid to observing the films taken at 5 and 10 minutes after injecting contrast media. According to the different conditions of individual cases some additional films may be taken, e.g. films in cases of urinary calculus, which is associated with hydronephrosis. The additional films were compared with the former ones. Films at 15th and 30th minute should be taken in order to rule out the destructive and space-occupying lesions. By this method it is not only possible to take an antero-posterior view, but also a lateral and oblique view.
II. Limitations:
The limitations of the methods are the same as those of the routine intravenous pyelography. However, the methods we used are not without their advantages. The tiny urinary calculi, retroperitoneal masses, congenital abnormalities and early changes of inflammatory lesions could be detected.
III. Effects:
From Sept. 16, 1977 to the present time, 100 cases have been treated, totaling 103 times of acupuncture intravenous pyelography. In 80 times good and better results were obtained, i.e. correct diagnosis was effected. In 23 times the results were less satisfactory. The main cause of the poor opacifications is due to ilfunctioning of kidneys.
Comparing with the compression method in our practice, acupuncture is effective in the intravenous pyelography because such method is suitable to the human's physiological conditions. This method can relieve not only the pain of the patient but also demonstrate a more truly pathological changes, thus providing a higher diagnostic rate.
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