非增强磁共振血管成像对变异肾动脉检出价值的应用研究
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摘要
目的以多层螺旋CT血管成像技术(CTA)为金标准探讨非增强磁共振血管成像对变异肾动脉的检出价值。方法随机收集我院2016年9月～2018年9月行腹部CTA患者共102例,入组患者均进行CTA及NCE-MRA扫描,以NCE-MRA组为实验组,CTA组为对照组,比较两组之间变异肾动脉检出率,并对结果进行统计学分析。结果实验组与对照组之间变异肾动脉的检出率差异无统计学意义(P>0.05),即NCE-MRA对变异肾动脉的检出率与CTA相比无显著差异,该研究4例患者出现假阴性。男性患者肾动脉变异率显著高于女性变异率,且差异有统计学意义(P<0.05)。结论与CTA相比,NCE-MRA是一项安全、无创、有效且准确性高的评价肾动脉的检查手段,值得临床推广应用。
Objective To explore the value of non contrast enhanced magnetic resonance angiography in the detection of variant renal arteries, with multi-slice spiral CT angiography(CTA) as the gold standard. Methods A total of 102 patients with abdominal CTA in our hospital from September 2016 to September 2018 were randomly collected. All patients were given CTA and NCE-MRA scans. The NCE-MRA group was used as the experimental group and the CTA group was the control group. The detection rates of variant renal artery were compared between the two groups, and the results were statistically analyzed. Results There was no significant difference in the detection rate of variant renal artery between the experimental group and the control group(P>0.05), that was, the detection rate of the variant renal artery by NCE-MRA was not significantly different from that of CTA. Four patients showed false negatives. The renal artery variability rate was significantly higher in male patients than in females, and the difference was statistically significant(P<0.05). Conclusion Compared with CTA, NCE-MRA is a safe, non-invasive, effective and accurate method for the evaluation of renal arteries, which is worthy of clinical application.
Objective To explore the value of non contrast enhanced magnetic resonance angiography in the detection of variant renal arteries, with multi-slice spiral CT angiography(CTA) as the gold standard. Methods A total of 102 patients with abdominal CTA in our hospital from September 2016 to September 2018 were randomly collected. All patients were given CTA and NCE-MRA scans. The NCE-MRA group was used as the experimental group and the CTA group was the control group. The detection rates of variant renal artery were compared between the two groups, and the results were statistically analyzed. Results There was no significant difference in the detection rate of variant renal artery between the experimental group and the control group(P>0.05), that was, the detection rate of the variant renal artery by NCE-MRA was not significantly different from that of CTA. Four patients showed false negatives. The renal artery variability rate was significantly higher in male patients than in females, and the difference was statistically significant(P<0.05). Conclusion Compared with CTA, NCE-MRA is a safe, non-invasive, effective and accurate method for the evaluation of renal arteries, which is worthy of clinical application.
引文
[1]龙女,郭旭方,孔丽,等.左肾动脉变异的应用解剖学研究[J].中国药物与临床,2016,16(3):384-386.
[2]Glockner JF,Vrtiska TJ.Renal MR and CT angiography:Current concepts[J].Abdom Imaging,2007,32(3):407-420.
[3]张蕾,季倩,沈文.活体肾移植手术方案与供肾血管MSCT评估相关性研究.实用放射学杂副肾动脉的显示分析及临床意义[J].实用放射学杂志,2011,27(5):726-728,757.
[4]Matter YE,Nagib AM,Lotfy OE,et al.Impact of Donor source on the outcome of live Donor kidney transplantation:A single center experience[J].Nephrourol Mon,2016,8(3):e34770.
[5]Shahbazi F,Ranjbaran M,Karami-Far S.Graft survival rate of renal transplantation during a period of 10 years in Iran[J].J Res Med Sci,2015,20(11):1046-1052.
[6]王琳.基于三种不同供肾来源的肾移植术后患者临床疗效分析及生存质量评估[D].郑州大学,2017.
[7]陈宪,夏春潮,孙家瑜,等.Time-slip技术在肾动脉无对比剂血管成像中的应用与临床价值[J].四川大学学报,2012,41(5):881-884.
[8]徐贤,安宁豫,陈穗惠,等.非对比剂增强肾动脉MRA诊断老年肾动脉狭窄的可行性[J].南方医科大学学报,2014,34(1):84-87.
[9]Lanzman RS,Voiculescu A,Walther C,et al.ECG-gated nonenhanced 3D steady-state free precession MR angiography in assessment of transplant renal arteries:Comparison with DSA[J].Radiology,2009,252:914-921.
[10]聂思,彭德昌,李海军,等.多层螺旋CT血管成像对肾动脉解剖变异的评价[J].中国医学影像学杂志,2016,24(10):775-777.
[11]吴巍珍,杜湘珂,申皓.流入反转恢复序列磁共振血管成像评估肾动脉狭窄[J].中国医学影像学杂志,2013,21(4):279-282.
[12]陈文华,邢伟,徐仁芳,等.多层螺旋CT在活体肾移植供肾评估及取肾手术方式选择中的应用[J].中华器官移植杂志,2011,32(11):659-662.
[13]徐敬慈,陈克敏,潘自来,等.磁共振增强血管造影对肾动脉解剖变异初探[J].CT理论与应用研究,2016,25(3):363-368.
[14]雷田,王歧本,蒙艳斌.副肾动脉的应用解剖学研究[J]解剖学研究,2010,32(5):399-400.
[15]陈振东,付峰,朱海东,等.16层螺旋CT血管成像对副肾动脉的显示分析及临床意义[J].实用放射学杂志,2011,27(5):726-728,757.
[16]葛高华,徐益明,黄伟,等.多排螺旋CT血管成像评价肾动脉变异[J].现代泌尿外科杂志,2012,17(1):36-38,98.
[17]张红娟,随玉真,纪庆超.64层螺旋CT肾动脉变异分析[J].安徽医学,2011,2(4):518-520.
[18]Hung CJ,Lin YJ,Chang SS,et a1.Five-year experience of adoption and evolution of laparoscopie living donor nephrectomy:Results from a center without large volume of patients[J].Transplantation Proceedings,2008,40(7):2112-2114.
[2]Glockner JF,Vrtiska TJ.Renal MR and CT angiography:Current concepts[J].Abdom Imaging,2007,32(3):407-420.
[3]张蕾,季倩,沈文.活体肾移植手术方案与供肾血管MSCT评估相关性研究.实用放射学杂副肾动脉的显示分析及临床意义[J].实用放射学杂志,2011,27(5):726-728,757.
[4]Matter YE,Nagib AM,Lotfy OE,et al.Impact of Donor source on the outcome of live Donor kidney transplantation:A single center experience[J].Nephrourol Mon,2016,8(3):e34770.
[5]Shahbazi F,Ranjbaran M,Karami-Far S.Graft survival rate of renal transplantation during a period of 10 years in Iran[J].J Res Med Sci,2015,20(11):1046-1052.
[6]王琳.基于三种不同供肾来源的肾移植术后患者临床疗效分析及生存质量评估[D].郑州大学,2017.
[7]陈宪,夏春潮,孙家瑜,等.Time-slip技术在肾动脉无对比剂血管成像中的应用与临床价值[J].四川大学学报,2012,41(5):881-884.
[8]徐贤,安宁豫,陈穗惠,等.非对比剂增强肾动脉MRA诊断老年肾动脉狭窄的可行性[J].南方医科大学学报,2014,34(1):84-87.
[9]Lanzman RS,Voiculescu A,Walther C,et al.ECG-gated nonenhanced 3D steady-state free precession MR angiography in assessment of transplant renal arteries:Comparison with DSA[J].Radiology,2009,252:914-921.
[10]聂思,彭德昌,李海军,等.多层螺旋CT血管成像对肾动脉解剖变异的评价[J].中国医学影像学杂志,2016,24(10):775-777.
[11]吴巍珍,杜湘珂,申皓.流入反转恢复序列磁共振血管成像评估肾动脉狭窄[J].中国医学影像学杂志,2013,21(4):279-282.
[12]陈文华,邢伟,徐仁芳,等.多层螺旋CT在活体肾移植供肾评估及取肾手术方式选择中的应用[J].中华器官移植杂志,2011,32(11):659-662.
[13]徐敬慈,陈克敏,潘自来,等.磁共振增强血管造影对肾动脉解剖变异初探[J].CT理论与应用研究,2016,25(3):363-368.
[14]雷田,王歧本,蒙艳斌.副肾动脉的应用解剖学研究[J]解剖学研究,2010,32(5):399-400.
[15]陈振东,付峰,朱海东,等.16层螺旋CT血管成像对副肾动脉的显示分析及临床意义[J].实用放射学杂志,2011,27(5):726-728,757.
[16]葛高华,徐益明,黄伟,等.多排螺旋CT血管成像评价肾动脉变异[J].现代泌尿外科杂志,2012,17(1):36-38,98.
[17]张红娟,随玉真,纪庆超.64层螺旋CT肾动脉变异分析[J].安徽医学,2011,2(4):518-520.
[18]Hung CJ,Lin YJ,Chang SS,et a1.Five-year experience of adoption and evolution of laparoscopie living donor nephrectomy:Results from a center without large volume of patients[J].Transplantation Proceedings,2008,40(7):2112-2114.
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