肾脏、肾上腺、肾动脉联合CT扫描对继发性高血压病因筛查的应用价值  

Application of kidney, adrenal gland, renal artery combined with multi-slice CT scan in the screening of secondary hypertension

作　　者：黄锦钊[1] 袁国奇[1] 刘海明[1] 梁辉清[1] 陈肇平[1] 

机构地区：[1]广东医学院附属陈星海医院CT室,广东中山528415

出　　处：《海南医学》2014年第2期191-193,共3页Hainan Medical Journal

基　　金：广东省中山市卫生局医学科研立项(编号:J2012273)

摘　　要：目的 探讨64排螺旋CT在肾脏、肾上腺、肾动脉联合扫描对继发性高血压病因筛查的应有价值.方法 181例怀疑继发性高血压患者行64排螺旋CT肾脏、肾上腺、肾动脉联合扫描,肾动脉CTA采用多平面重建、最大密度投影、曲面重建及容积再现等三维后处理技术显示.所有图像由两名有经验的放射科医生进行分析评价.结果 181例患者均得到满意图像,达到诊断要求.其中肾动脉CTA能清楚显示肾动脉主干及其2～4级分支.发现肾脏、肾上腺、肾动脉相关疾病引起的继发性高血压76例,其中肾脏疾病17例,肾上腺疾病28例,肾动脉疾病31例.结论 64排螺旋CT肾脏、肾上腺、肾动脉联合扫描,是继发性高血压病因筛查的有效的检查方法,具有较高的临床应用价值.Objective To explore the application value of one-time unified examination of kidney,adrenal gland,renal artery with 64 multi-slice CT （MSCT） in the screening of secondary hypertension.Methods One hundred and eighty-one patients who were suspected of suffering from secondary hypertension were performed a one-time unified examination of kidney,adrenal gland,renal artery with 64-slice CT.Renal artery CTA were displayed by three-dimensional postprocesses （including MPR,MIP,CPR and VR）.All the images were evaluated by 2 experienced radiologists.Results Satisfactory images were obtained in all cases,which could meet the need of the clinical diagnosis.The trunk and 2～4 graded branches of renal artery were clearly displayed.Seventy-six patients were diagnosed as secondary hypertension caused by diseases related to kidney,adrenal gland,and renal artery,including renal disease in 17 cases,adrenal disease in 28 cases,and renal artery stenosis in 31 cases.Conclusion The one-time unified examination of kidney,adrenal gland,renal artery is an effective method for the screening of secondary hypertension,which is of great clinical practice value.

关 键 词：继发性高血压 病因 筛查 X线计算机体层摄影 

分 类 号：R544.1[医药卫生—心血管疾病]