中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
7期
135-136,137
,共3页
江顺福%朱殊%余建兵%曹铭华%曹玮
江順福%硃殊%餘建兵%曹銘華%曹瑋
강순복%주수%여건병%조명화%조위
肾动脉狭窄%彩色多普勒超声%肾动脉造影%应用价值
腎動脈狹窄%綵色多普勒超聲%腎動脈造影%應用價值
신동맥협착%채색다보륵초성%신동맥조영%응용개치
Renal artery stenosis%Color doppler ultrasound%Renal arteriography%Application value
目的:对比分析肾动脉造影与彩色多普勒超声在肾动脉狭窄诊断中的应用价值。方法:以肾动脉造影结果为判断标准,对50例肾动脉狭窄的高度疑似患者行彩色多普勒超声检查,评价彩色多普勒超声诊断肾动脉狭窄的准确性。结果:彩色多普勒超声共诊断出狭窄肾动脉77条,而肾动脉造影共检出狭窄肾动脉72条,漏诊率为5.00%,误诊率为13.00%。随着血管闭塞程度的加重,多普勒超声诊断结果与肾动脉造影结果的相符率依次升高,其中重度狭窄组和完全闭塞组的符合率达100%。彩色多普勒超声结果显示,中度狭窄组患者的PSV、EDV及AC均显著高于轻度狭窄组,且重度狭窄组的以上指标均显著高于中度狭窄组,比较差异有统计学意义。结论:彩色多普勒超声在肾动脉狭窄诊断中的准确率较高,可基本达到肾动脉造影诊断的标准,其参数PSV、EDV及AC对判断在患者肾动脉狭窄程度具有重要意义。
目的:對比分析腎動脈造影與綵色多普勒超聲在腎動脈狹窄診斷中的應用價值。方法:以腎動脈造影結果為判斷標準,對50例腎動脈狹窄的高度疑似患者行綵色多普勒超聲檢查,評價綵色多普勒超聲診斷腎動脈狹窄的準確性。結果:綵色多普勒超聲共診斷齣狹窄腎動脈77條,而腎動脈造影共檢齣狹窄腎動脈72條,漏診率為5.00%,誤診率為13.00%。隨著血管閉塞程度的加重,多普勒超聲診斷結果與腎動脈造影結果的相符率依次升高,其中重度狹窄組和完全閉塞組的符閤率達100%。綵色多普勒超聲結果顯示,中度狹窄組患者的PSV、EDV及AC均顯著高于輕度狹窄組,且重度狹窄組的以上指標均顯著高于中度狹窄組,比較差異有統計學意義。結論:綵色多普勒超聲在腎動脈狹窄診斷中的準確率較高,可基本達到腎動脈造影診斷的標準,其參數PSV、EDV及AC對判斷在患者腎動脈狹窄程度具有重要意義。
목적:대비분석신동맥조영여채색다보륵초성재신동맥협착진단중적응용개치。방법:이신동맥조영결과위판단표준,대50례신동맥협착적고도의사환자행채색다보륵초성검사,평개채색다보륵초성진단신동맥협착적준학성。결과:채색다보륵초성공진단출협착신동맥77조,이신동맥조영공검출협착신동맥72조,루진솔위5.00%,오진솔위13.00%。수착혈관폐새정도적가중,다보륵초성진단결과여신동맥조영결과적상부솔의차승고,기중중도협착조화완전폐새조적부합솔체100%。채색다보륵초성결과현시,중도협착조환자적PSV、EDV급AC균현저고우경도협착조,차중도협착조적이상지표균현저고우중도협착조,비교차이유통계학의의。결론:채색다보륵초성재신동맥협착진단중적준학솔교고,가기본체도신동맥조영진단적표준,기삼수PSV、EDV급AC대판단재환자신동맥협착정도구유중요의의。
Objective:To compare and analyze the application value of renal angiography and color doppler flow imaging in diagnosis of renal artery stenosis. Method:The renal arteriography result was regarded as the criteria,50 patients with high degree of suspected renal artery stenosis were diagnosed with color doppler ultrasound,the accuracy of color doppler ultrasound on patients with renal artery stenosis were evaluated. Result:77 renal artery stenosis were diagnosed with color doppler ultrasound,and 72 renal artery stenosis were diagnosed with renal arteriography. The misdiagnosis rate and misdiagnosis rate of doppler ultrasound were 5.00%and 13.00%. With the severity of vascular occlusion,the consistence of doppler ultrasound diagnosis with renal artery angiography increased in turn. Color doppler ultrasound showed that PSV,EDV and AC of patients with moderate stenosis were significantly higher than those of mild stenosis group,and the above indicators of severe stenosis group were significantly higher than those of moderate stenosis group. Conclusion:The color doppler ultrasound is of high accuracy in the diagnosis of renal artery stenosis,which can basically reach the standard angiography in the diagnosis of renal artery. Parameters such as PSV,EDV and AC is of great importance in determining the degree of renal artery stenosis.