中华泌尿外科杂志
中華泌尿外科雜誌
중화비뇨외과잡지
CHINESE JOURNAL OF UROLOGY
2012年
3期
192-195
,共4页
甘艺平%余强国%岑贤友%潘小舟%孙伟桂%范召应%宋小松%肖玮琳%吴桑荣%费西平%覃智颖
甘藝平%餘彊國%岑賢友%潘小舟%孫偉桂%範召應%宋小鬆%肖瑋琳%吳桑榮%費西平%覃智穎
감예평%여강국%잠현우%반소주%손위계%범소응%송소송%초위림%오상영%비서평%담지영
灌流%肾积水%预测%体层摄影术,X线计算机
灌流%腎積水%預測%體層攝影術,X線計算機
관류%신적수%예측%체층섭영술,X선계산궤
Multi-slice CT%Perfusion%Hydronephrosis%Prediction
目的 探讨多层螺旋CT(MSCT)灌注成像在单侧梗阻性积水肾肾功能可复性预测中的价值. 方法 单侧梗阻性重度肾积水、IVU检查不显影、对侧肾显影正常的患者38例,无糖尿病、痛风、高血压病及泌尿系感染或结核,除外肾占位性病变、肾囊肿、肾炎或慢性肾病且总肾功能正常,行MSCT灌注扫描,梗阻解除后6个月行MSCT灌注扫描和IVU检查,测量积水肾与对侧肾皮质的血流量(BF)、血容量(BV)值.根据术后IVU检查结果分为显影(22例)和不显影(16例)组,统计学比较2组手术前后积水肾的BF和BV值. 结果 显影组梗阻解除前后MSCT检查积水肾皮质BF分别为(361.6±109.7)和(561.1±165.4)ml/(100 g·min),BV值分别为(24.1±10.2)、(35.9±11.3) ml/100 g,手术前后差异有统计学意义(t值分别为-3.38、-2.34,P值＜0.01和0.05).不显影组梗阻解除前后积水肾皮质BF分别为(39.1±22.5)和(38.7±15.4)ml/(100 g·min),BV值分别为(8.7±4.4)、(10.3±4.9) ml/100 g,手术前后差异无统计学意义(P值均＞0.05).2组间手术前后BF、BV值的差异均有统计学意义(t值分别为9.09、4.15,P值均＜0.01). 结论 MSCT灌注成像在预测IVU不显影的单侧梗阻性积水肾肾功能可复性中具有一定价值.
目的 探討多層螺鏇CT(MSCT)灌註成像在單側梗阻性積水腎腎功能可複性預測中的價值. 方法 單側梗阻性重度腎積水、IVU檢查不顯影、對側腎顯影正常的患者38例,無糖尿病、痛風、高血壓病及泌尿繫感染或結覈,除外腎佔位性病變、腎囊腫、腎炎或慢性腎病且總腎功能正常,行MSCT灌註掃描,梗阻解除後6箇月行MSCT灌註掃描和IVU檢查,測量積水腎與對側腎皮質的血流量(BF)、血容量(BV)值.根據術後IVU檢查結果分為顯影(22例)和不顯影(16例)組,統計學比較2組手術前後積水腎的BF和BV值. 結果 顯影組梗阻解除前後MSCT檢查積水腎皮質BF分彆為(361.6±109.7)和(561.1±165.4)ml/(100 g·min),BV值分彆為(24.1±10.2)、(35.9±11.3) ml/100 g,手術前後差異有統計學意義(t值分彆為-3.38、-2.34,P值＜0.01和0.05).不顯影組梗阻解除前後積水腎皮質BF分彆為(39.1±22.5)和(38.7±15.4)ml/(100 g·min),BV值分彆為(8.7±4.4)、(10.3±4.9) ml/100 g,手術前後差異無統計學意義(P值均＞0.05).2組間手術前後BF、BV值的差異均有統計學意義(t值分彆為9.09、4.15,P值均＜0.01). 結論 MSCT灌註成像在預測IVU不顯影的單側梗阻性積水腎腎功能可複性中具有一定價值.
목적 탐토다층라선CT(MSCT)관주성상재단측경조성적수신신공능가복성예측중적개치. 방법 단측경조성중도신적수、IVU검사불현영、대측신현영정상적환자38례,무당뇨병、통풍、고혈압병급비뇨계감염혹결핵,제외신점위성병변、신낭종、신염혹만성신병차총신공능정상,행MSCT관주소묘,경조해제후6개월행MSCT관주소묘화IVU검사,측량적수신여대측신피질적혈류량(BF)、혈용량(BV)치.근거술후IVU검사결과분위현영(22례)화불현영(16례)조,통계학비교2조수술전후적수신적BF화BV치. 결과 현영조경조해제전후MSCT검사적수신피질BF분별위(361.6±109.7)화(561.1±165.4)ml/(100 g·min),BV치분별위(24.1±10.2)、(35.9±11.3) ml/100 g,수술전후차이유통계학의의(t치분별위-3.38、-2.34,P치＜0.01화0.05).불현영조경조해제전후적수신피질BF분별위(39.1±22.5)화(38.7±15.4)ml/(100 g·min),BV치분별위(8.7±4.4)、(10.3±4.9) ml/100 g,수술전후차이무통계학의의(P치균＞0.05).2조간수술전후BF、BV치적차이균유통계학의의(t치분별위9.09、4.15,P치균＜0.01). 결론 MSCT관주성상재예측IVU불현영적단측경조성적수신신공능가복성중구유일정개치.
Objective To evaluate the application of multi-slice CT (MSCT) perfusion scan technique in predicting renal function recovery after unilateral hydronephrosis treatment. Methods Thirtyeight patients with unilateral obstructive hydronephrosis not shown on intravenous urography (IVU) and a normal contralateral kidney were recruited for this study.Patients were divided into detected (D) and undetected (UD) groups depending on whether the IVU detected urinary tract obstruction.All patients underwent plain abdominal X-ray,gray-scale ultrasonography,excretory urography and MSCT perfusion scan before and after the treatment.Patients were followed-up at six months or more after the treatment for a mean duration of 12.5 months (range from 6 to 22 ). Results Of the 38 cases,22 cases were in group D,16 cases were in group UD.On MSCT,renal cortex blood flow (BF) and blood volume ( BV ) value after treatment in group D were 561.1 ± 165.4 ml/( 100 g · min) and 35.9 ± 11.3 ml/100 g compared with before treatment rates of 361.6 ±109.7 ml/(100g· min) and24.1 ±10.2 ml/100g,t=-3.38,-2.34,P＜0.01,0.05.In the UD group,the differences of these parameters were after treatment 38.7 ± 15.4 ml/(100 g · min),10.306 ± 4.925 ml/100 g and before treatment 39.1 ± 22.5 ml/( 100 g · min) and 8.7 ± 4.4 ml/100 g,P ＞ 0.05.In the aspects of BF and BV,there were statistically significant differences between group D and group U D both before and after the treatment,t=9.09,4.15,P ＜ 0.01. Conclusions M SCT perfusion can provide a valuable prediction technique of the renal function recovery in patients with unilateral obstructive hydronephrosis.Improvement of renal function can be expected after relief of obstructive hydronephrosis if the patients have a BF 361.6 ml/( 100 g · min) and BV 24.1 ml/100 g or greater measured by MSCT perfusion.
