首页|多排螺旋CT对肾动脉狭窄的诊断价值

多排螺旋CT对肾动脉狭窄的诊断价值

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目的评价多层螺旋CT血管造影(MSCTA)在诊断肾动脉狭窄方面的应用价值,为临床治疗决策的选择提供依据。方法收集于山西省心血管病医院行MSCTA肾动脉CTA检查的患者31例,所有患者均有不同程度的高血压,回顾性分析其肾动脉重建图像,并对其预后进行随访。结果31例受检者中,共发现肾动脉狭窄患者10例,其中4例为两侧起始段重度狭窄,3例为左侧肾动脉狭窄,3例为右侧肾动脉狭窄。随访:10例患者中,6例行支架植入术,顽固性高血压于术后均有所改善。结论肾动脉CTA可以发现不同程度的肾动脉狭窄,并对其治疗方法的选择有一定指导意义。
Objective To evaluate the value of multislice spiral CT angiography(MSCTA) in the diagnosis of renal artery stenosis and provide the basis for the selection of clinical treatment decisions. Methods Renal artery CTA reconstruction images of 31 patients from Shanxi Cardiovascular Hospital were analyzed, all patients had varying degrees of hypertension, and the prognosis were followed-up. Results There were 10 patients with renal artery stenosis, including 4 cases with both sides severe stenosis of the initial segment, 3 cases with the left renal artery stenosis, and 3 cases with the right renal artery stenosis. Followed-up results: 6 cases of stenting in 10 patients, Resistant hypertension have improved postoperative. Conclusion The renal artery CTA can find the varying degrees of renal artery stenosis and guide the clinical treatment.

MSCTARenal artery stenosis

侯跃宏、李天亮、陈大奇、孙琦婷

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030001 太原,山西医科大学

030024 山西省心血管病医院

多层螺旋CT血管造影 肾动脉狭窄

2013

中国医疗前沿
中国医院协会

中国医疗前沿

影响因子:0.186
ISSN:1673-5552
年,卷(期):2013.(4)
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