[1]李金锋),王国民),丰贵文)#,等.多层螺旋CT肾血管成像在亲属活体供肾术前评价中的应用价值[J].郑州大学学报(医学版),2012,(01):115.
 LI Jinfeng,WANG Guomin,FENG Guiwen,et al.Clinical value of renal vessel angiography with 64slice spiral CT in evaluating living donors prior to donor nephrectomy[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2012,(01):115.
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多层螺旋CT肾血管成像在亲属活体供肾术前评价中的应用价值
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2012年01期
页码:
115
栏目:
应用研究
出版日期:
2012-01-20

文章信息/Info

Title:
Clinical value of renal vessel angiography with 64slice spiral CT in evaluating living donors prior to donor nephrectomy
作者:
李金锋1)王国民2)丰贵文1)#刘杰3)王跃1)庞新路1)尚文俊1)刘磊1)
1)郑州大学第一附属医院肾移植科 郑州 450052 2)复旦大学附属中山医院泌尿外科 上海 200032 3)郑州大学第一附属医院放射科 郑州 450052
Author(s):
LI Jinfeng1)WANG Guomin2)FENG Guiwen1)LIU Jie3)WANG Yue1)PANG Xinlu1)SHANG Wenjun1) LIU Lei1)
1)Department of Kidney Transplantation, the First Affiliated Hospital, Zhengzhou University, Zhengzhou 450052 2)Department of Urology, Zhongshan Hospital,Fudan University, Shanghai 200032 3)Department of Radiology, the First Affiliated Hospital, Zhengzhou University, Zhengzhou 450052
关键词:
肾移植活体供者多层螺旋CT肾血管成像
Keywords:
kidney transplantation living donortomography64slice spiral CT renal vessel angiography
分类号:
R692
摘要:
目的:探讨64 层螺旋CT 肾血管成像(64SCTRA)术前评价亲属活体供肾的临床价值。方法:拟行亲属活体供肾移植的供者84例,行64SCTRA了解肾实质及肾脏血管情况,并将检查结果与术中所见相对照。结果:84例供者CT检查均获得满意图像。67例供者双侧肾动脉均为单支,17例供者一侧或双侧肾动脉伴有副肾动脉;14例供者发现肾动脉过早分支;肾动脉内斑块12例,其中11例管腔轻度狭窄,1例管腔中度狭窄;肾静脉双支5例。肾囊肿11例,肾结石4例,肾脏血管平滑肌脂肪瘤1例。除1例间质性肺炎、1例肾脏血管平滑肌脂肪瘤供者被剔除,其余82例行开放手术切取供肾,均获得成功。肾静脉、肾盂及输尿管64SCTRA的检查结果与术中所见完全一致。64SCTRA对肾动脉过早分支的检出率为100%。3例术中发现细小副肾动脉而64SCTRA未报告。结论:64SCTRA可对肾脏及肾血管进行充分评估,可作为供肾切取术前的常规检查项目。
Abstract:
Aim:To investigate the clinical value of 64slice spiral CT(64SCT) renal vessel angiography in evaluating living donors prior to donor nephrectomy.Methods:The data of eightyfour living donors underwent 64SCT renal vessel angiography were reviewed and compared with the findings in donor nephrectomy, especially renal vessels and renal parenchyma.Results:Eightyfour living donors gained satisfactory CT images. Sixtyseven donors had one renal artery on each side, accessory renal arteries were found in 17 donors on one side or two sides. In addition, renal artery probranch was found in 14 cases.Renal artery plaque was found in 12 cases(mild renal artery narrowing was found in 11 cases,and moderate renal artery narrowing was found in 1 case). Double renal veins was found in 5 cases. There were 11 cases of renal cysts,4 cases of kidney calculus,and 1 case of renal angioleiomyolipoma.Except 1 case of interstitial pneumonia and 1 case of renal angioleiomyolipoma,eightytwo cases of donor nephrectomy were performed.The results of renal veins and collecting system by 64SCT was in accordance with the findings in operation.Small accessory renal arteries was missed in 3 cases before operation.Conclusion:64SCT renal vessel angiography is a safe and effective method to evaluate renal parenchyma and renal vessels of living donors,and should be used as a routine preoperative examination for living renal donors.

参考文献/References:

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备注/Memo

备注/Memo:
doi:10.3969/j.issn.16716825.2012.01.038 #通讯作者,男,1963年11月生,博士,副主任医师,研究方向:肾移植与泌尿系统肿瘤,Email:fengguiwen@zzu.edu.cn
更新日期/Last Update: 1900-01-01