16排螺旋CT在活体肾移植术前综合评价的应用  

Application of 16-slice Spiral CT to Preoperative Assessment for Live Renal Transplantation

作　　者：王斌[1] 田梅[2] 

机构地区：[1]解放军261医院放射科,北京100094 [2]解放军309医院放射科,北京100094

出　　处：《医疗卫生装备》2010年第3期82-82,85,共2页Chinese Medical Equipment Journal

摘　　要：目的:探讨16排螺旋CT(MSCT)综合评价活体肾移植术前供肾状态的价值。方法:活体肾移植供者118例,术前均进行肾脏CT动态增强扫描,应用MPR、MIP、VR和CPR等图像后处理技术显示供肾血管、肾实质及收集系统情况,并将术前肾脏CT动态增强扫描影像与术中所见进行对照,评价肾脏CT动态增强扫描的准确性及应用价值。结果:114例供者均获得了满意的肾脏CT动态增强扫描影像,肾实质、肾血管及收集系统情况显示清晰;4例患者二次注射造影剂后获得了满意图像。肾脏CT动态增强扫描所示与手术所见完全吻合。结论:肾脏CT动态增强扫描可以准确而全面地评价活体供肾的形态与功能,应作为活体肾移植前评价供肾的常规检查方法。Objective To evaluate 16-slice spiral CT for preoperative assessment of live renal transplantation.Methods 118 cases of live renal donors underwent dynamic enhanced CT scanning of kidney before the transplantation,and postprocessing techniques,such as MPR,MIP,VR and CPR,were used to show the situation of the vessels of donor kidney,renal parenchyma and gathering system.The results of dynamic enhanced CT scanning were compared with the surgical findings to evaluate its accuracy and value.Results Of all 118 cases,114 ones gained dynamic enhanced CT scanning results,and the remained 4 ones went through two times of contrast material injections for satisfied images.The results by dynamic enhanced CT scanning tallied with the surgical findings.Conclusion Dynamic enhanced CT scanning of kidney can evaluate morphology and function of the live donor kidney,and thus can be the routine examination for preoperative assessment for live renal transplantation.

关 键 词：体层摄影术 X线计算机 肾移植 活体供肾者 

分 类 号：R699.2[医药卫生—泌尿科学] R816.7[医药卫生—外科学]