摘要
目的：探讨MSCT血管造影在活体肾供体术前综合评价中的应用价值。材料与方法：55例供体术前进行了MSCT三期增强扫描，均进行MPR、VR、MIP及CTVE，观察肾实质、肾动脉、肾静脉情况。对所有55例资料进行随访追踪，实施了肾移植的使用术中结果作为对照的金标准。结果：55例110个肾脏中有19例见29支副肾动脉、肾动脉过早分支2例、单侧双肾静脉2例、肠系膜上动脉压迫肾静脉1例、多发肾囊肿3例、肾结石5例、肾错构瘤1例。合乎临床要求的供肾46例。结论：MSCTA作为术前活体肾供体的一站式检查技术，有重要的临床应用价值，可基本代替DSA。
Abstract
Objective: To evaluate the value of MSCT in living renal donors before operation. Materials and Methods: Fifty-five renal donors were undergone three phase enhanced MSCT scanning before operation. MPR, VR, MIP and CTVE reformation were performed to observe renal parenchyma, renal artery, and renal vein. Compared with those operational findings who were performed renal transplatation. Results: One hundred and ten kidneys could be found in 55 cases. Twenty-nine accessory renal arteries were found in 19 cases, renal artery pro-branch in 2 cases, accessory vein in one side in 2 cases, renal vein were pressed by superior mesenteric artery in 1 case, multiple renal cysts in 3 cases, calculus of kidney in 5 cases, renal hamartoma in 1 case were detected. Forty-six donors were coincidence to clinic standard. Conclusion: MSCTA has an important role as a “one-stop” technique for the evaluation of living renal donors, it can replace DSA.
关键词
肾移植 /
血管造影术 /
体层摄影术 /
X线计算机
Key words
Kidney transplantation /
Angiography /
Tomography /
X-ray computed
彭 谦;范 淼;黄 刚;李子平;叶滨宾.
多层CT血管造影在活体肾移植供体术前的应用[J]. 中国临床医学影像杂志. 2008, 19(6): 402-405
PENG Qian;FAN Miao;HUANG Gang;LI Zi-ping;YE Bin-bin.
Evaluation of living renal donors before operation using MSCT angiography[J]. Journal of China Clinic Medical Imaging. 2008, 19(6): 402-405
中图分类号：
Ｒ692
Ｒ814.42
R814.43
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