副肾动脉多排螺旋CT血管成像与肾血管性高血压相关性研究  

作　　者：罗东[1] 张应和[1] 覃智颖[1] 顾瑞基[1] 李杜[1] 张艳雯[1] 杨志权[1] 黄汉培 

机构地区：[1]佛山市南海区第二人民医院,广东佛山528251

出　　处：《检验医学》2016年第B09期56-58,共3页Laboratory Medicine

基　　金：佛山市卫生计生委医学科研课题,（2015391）

摘　　要：目的探讨多排螺旋CT血管成像下副肾动脉（ARA）直径与肾血管性高血压发生关系，给临床疾病的治疗提供参考。方法分析在我院治疗的30例肾血管性高血压伴ARA患者临床资料，为研究组。同时，选取同期80例仅患有副肾动脉的患者资料，为对照组。运用多排螺旋CT观察两组患者的ARA走形、起源及支数，并对ARA直径进行测量，对比研究ARA直径和肾血管性高血压间的发生关系。结果两组患者中出现ARA134支，其中63支为右侧，71支为左侧。从起源来看，源于腹主动脉90支、早发分支41支、肠系膜下动脉2支、肠系膜上动脉1支。110例患者中1支型、2支型、3支型、4支型患者例数分别为：89例、18例、2例、1例。研究组患者的ARA直径和同侧肾动脉直径的比值较对照组患者高，前者为（0．87±0．11）、后者为（0．33±0．13）。双侧肾动脉直径研究组患者比值较对照组小，前者为（0．71±0．17），后者为（0．94±0．05），对比知P〈0．05差异具有显著性。绪论多排螺旋CT可清楚的观察到ARA的走形、起源与指数，并且ARA直径粗大和肾血管性高血压出现相关。Objective To investigate the multi-slice spiral CT angiography in lower renal artery （ARA） in diameter and renal vascular hypertension relationship, to provide a reference to the treatment of clinical disease. Methods In our hospital 30 eases of renal vascular hypertension with clinical data ARA, for the study group. At the same time, select the data over the same period 80 patients with renal artery only for the control group. Using multi-slice spiral CT were observed in the ARA take shape, origin and count, and ARA diameter measurements, comparative study of a relationship ARA diameter and renal vascular hypertension between. Results ARA134 branched appear in two groups of patients, including 63 right side, 71 to the left. From the point of view origin, from the abdominal aorta 90, early onset of branch 41, two inferior mesenteric artery, superior mesenteric artery 1. [Not seen reported in the literature originated in the inferior mesenterie artery, superior mcsenteric artery origin is very rare reports] [customers have reported to the ma terial, please read the customer. ] 110 patients in a type 2 type 3 type, number of patients were four type： 89 cases, 18 cases, 2 cases, 1 case. ARA diameter and ipsilateral renal artery diameter ratio of the study group of patients than in the control group were higher, the former （0.87±0.11）, the latter （0.33±0.13）. The ratio of patients with. bilateral renal artery diameter small study group than the control group, the former （0.71±0.17）, the latter （0.94±0.05）, comparison of known P〈0.05 significant difference. Conclusion Multi-slice spiral CT can be clearly observed ARA out of shape, origin and index, and ARA diameter thick and renal vascular hyperten sion appear relevant.

关 键 词：副肾动脉 螺旋CT血管成像 肾血管性高血压 

分 类 号：R816.7[医药卫生—放射医学]