摘要
目的探讨多层螺旋CT血管成像(MSCTA)在诊断肾血管性高血压的CT表现及临床应用价值。方法搜集临床疑诊为肾血管性高血压的患者57例,均行128层螺旋CT肾动脉CTA及常规肾髓质期、分泌期扫描,15例同时进行肾动脉数字减影血管造影(DSA)检查,分析其CT表现,并将MSCTA与DSA检测结果对比。结果 MSCT共检出肾血管病变28例(检出率49.1%),其中肾动脉狭窄25例(检出率43.9%),肾动脉瘤2例,肾静脉瘤样扩张1例;显示肾动脉斑块69处,肾皮质强化减弱4例;MSCTA与DSA比较,对肾动脉狭窄诊断敏感度、特异度、准确度差异无显著性。结论 MSCTA对肾血管性高血压的筛查及诊断有着无可比拟的优势,在显示肾动脉斑块明显优于DSA。
This study is to investigate the multi-slice spiral CT angiography（MSCTA） in the diagnosis of renal vascular hypertension CT manifestations and clinical application value.During the research we collected 57 cases of patients who are clinically suspected renal vascular hypertensive,and underwent 128 slice spiral CT renal arterial CTA and conventional renal medullary period,secretory phase scanning,and the renal arterial digital subtraction angiography（DSA） examinations of 15 cases were undergone,and finally we compared MSCTA detection results to DSA＇s.We got the findings that the results of MSCT were detected in 28 cases of renal vascular lesions（detection rate 49.1%）,including 25 patients with renal artery stenosis（detection rate 43.9%）,renal artery aneurysm in 2 cases,renal vein aneurysm 1 cases showed a renal artery plaque;69,strengthen the weakening of renal cortex in 4 cases;MSCTA compared with DSA,on renal artery stenosis diagnostic sensitivity,specificity,accuracy no significant differences.We drew a conclusion that MSCTA on renal vascular hypertension screening and diagnosis has many advantages,and is significantly better than DSA in a display of renal artery plaque.
出处
《求医问药（下半月刊）》
2012年第8期324-325,共2页
Seek Medical and Ask The Medicine
