东南大学学报（医学版）
東南大學學報（醫學版）
동남대학학보（의학판）
JOURNAL OF SOUTHEAST UNIVERSITY(MEDICAL SCIENCE EDITION)
2013年
4期
413-416
,共4页
BIKASH Kumar Shah%张炽敏%周旋
BIKASH Kumar Shah%張熾敏%週鏇
BIKASH Kumar Shah%장치민%주선
肾动脉狭窄%彩色多普勒超声%数字减影血管造影
腎動脈狹窄%綵色多普勒超聲%數字減影血管造影
신동맥협착%채색다보륵초성%수자감영혈관조영
renal artery stenosis%color Doppler ultrasound%digital subtraction angiography
目的：探讨彩色多普勒超声诊断肾动脉狭窄（ RAS ）的临床价值。方法：对临床拟诊RAS的18例患者的36支肾动脉进行彩色多普勒超声检查，根据肾动脉形态学和血流动力学超声表现评价肾动脉有无狭窄；同期进行肾动脉数字减影血管造影（ DSA ），并对两者检查结果进行对比分析。结果：在超声检查发现RAS的11支肾动脉中，有10支与DSA符合，假阳性1支；在超声检查未发现RAS的25支肾动脉中，DSA发现3支肾动脉存在RAS，假阴性3支，超声符合率为88．9％（32/36）。超声检查结果与DSA比较：经Kappa检验，测值为0．75（P＞0．05）；经McNemar检验，测值为0．625（P＞0．05），表明本组病例彩色多普勒超声和DSA检查对RAS诊断的一致性较好，两种方法对RAS的诊断率没有明显差异。结论：肾动脉彩色多普勒超声是诊断RAS的一种简便、有效、可重复性好的检查方法，具有很高的临床应用价值。
目的：探討綵色多普勒超聲診斷腎動脈狹窄（ RAS ）的臨床價值。方法：對臨床擬診RAS的18例患者的36支腎動脈進行綵色多普勒超聲檢查，根據腎動脈形態學和血流動力學超聲錶現評價腎動脈有無狹窄；同期進行腎動脈數字減影血管造影（ DSA ），併對兩者檢查結果進行對比分析。結果：在超聲檢查髮現RAS的11支腎動脈中，有10支與DSA符閤，假暘性1支；在超聲檢查未髮現RAS的25支腎動脈中，DSA髮現3支腎動脈存在RAS，假陰性3支，超聲符閤率為88．9％（32/36）。超聲檢查結果與DSA比較：經Kappa檢驗，測值為0．75（P＞0．05）；經McNemar檢驗，測值為0．625（P＞0．05），錶明本組病例綵色多普勒超聲和DSA檢查對RAS診斷的一緻性較好，兩種方法對RAS的診斷率沒有明顯差異。結論：腎動脈綵色多普勒超聲是診斷RAS的一種簡便、有效、可重複性好的檢查方法，具有很高的臨床應用價值。
목적：탐토채색다보륵초성진단신동맥협착（ RAS ）적림상개치。방법：대림상의진RAS적18례환자적36지신동맥진행채색다보륵초성검사，근거신동맥형태학화혈류동역학초성표현평개신동맥유무협착；동기진행신동맥수자감영혈관조영（ DSA ），병대량자검사결과진행대비분석。결과：재초성검사발현RAS적11지신동맥중，유10지여DSA부합，가양성1지；재초성검사미발현RAS적25지신동맥중，DSA발현3지신동맥존재RAS，가음성3지，초성부합솔위88．9％（32/36）。초성검사결과여DSA비교：경Kappa검험，측치위0．75（P＞0．05）；경McNemar검험，측치위0．625（P＞0．05），표명본조병례채색다보륵초성화DSA검사대RAS진단적일치성교호，량충방법대RAS적진단솔몰유명현차이。결론：신동맥채색다보륵초성시진단RAS적일충간편、유효、가중복성호적검사방법，구유흔고적림상응용개치。
Objective:To investigate the clinical value of color Doppler ultrasound in diagnosis of renal artery stenosis ( RAS ) .Methods: In 18 cases of RAS suspected clinically , 36 renal arteries were examined by color Doppler ultrasound according to renal artery morphology and hemodynamics .Ultrasound assessment of renal artery was done to find out if there was presence of stenosis or not; at the same time renal artery digital subtraction angiography (DSA) was done.Both the results of color Doppler ultrasound and DSA were paired to each other and compared separately and were finally analyzed statistically .Results:Among 11 RAS diagnosed by Ultrasound , 10 were confirmed by DSA (1 false positive); Among 25 normal renal artery diagnosed by Ultrasound , 3 RAS were revealed by DSA ( 3 false negative ) .Ultrasound accordance rate is 88 .9%( 32/36 ) .Test results of ultrasound exam and DSA imaging in the diagnosis of RAS were compared statistically .Kappa measured value was 0.75(P>0.05) , showed that this group of patient examined by DSA and ultrasound had good consistency in diagnosis of RAS;McNemar test measured value was 0 .625 ( P >0 .05 ) , showed that in the group of patients the rate of diagnosis in RAS by ultrasonography and DSA had no obvious difference .Conclusion:Color Doppler ultrasound in diagnosis of RAS is a simple , effective, can be done repeatedly and has high clinical value way .
