摘要
目的分析CT血管造影(CTA)筛查肾动脉狭窄(RAS)对疑似肾血管性高血压患者的诊断意义。方法纳入2007年12月至2008年12月疑似肾血管性高血压患者39例,男26例,女13例,全部使用GE Light Speed16层螺旋CT,Aw4.2工作站行CTA RAS筛查。结果RAS患者29例(71.8%)。加速性和难治性高血压患者中RAS检出率为71.0%(21/31);近期肾功能减退者中RAS检出率66.7%(4/6);伴腹部或下肢闭塞性血管病者中RAS检出率为85.0%(17/20);双肾大小不一致患者中RAS检出率为50.0%(1/2)。结论CTA检查在疑似肾血管性高血压患者中RAS检出率较高,可以在肾血管性高血压的筛查中广泛应用。
Objective To analyze CT angiography screening for renal artery stenosis （RAS） of the suspected renovascular hypertension diagnosis. Methods The inclusion 2007-12/2008-12 suspected renovascular hypertension 39 cases, male 26 cases, female 13 cases, all using the GE Light Speed 16-slice CT, Aw4. 2 workstation RAS row CT angiography screening. Results RAS in patients with 29 cases（71.8% ）. Acceleration and refractory hypertension in patients with RAS detection rate was 71.0% （21/31） ; recent impaired renal function in RAS detection rate of 66.7% （4/6） ; with abdominal or lower limb occlusive disease who RAS detection rate was 85.0% （ 17/20 ） ; kidneys in patients with RAS the size of inconsistency detection rate was 50. 0% （1/2）. Conclusion CTA examination in patients with suspected renovascular hypertension in RAS detection rate was higher in the renovascular hypertension screening in the wider application.
出处
《中国现代药物应用》
2009年第24期50-51,共2页
Chinese Journal of Modern Drug Application
