蛇志
蛇誌
사지
JOURNAL OF SNAKE
2014年
2期
163-164,168
,共3页
吴志武%温德树%李次发%马莉琴%罗日向%谢姚屹
吳誌武%溫德樹%李次髮%馬莉琴%囉日嚮%謝姚屹
오지무%온덕수%리차발%마리금%라일향%사요흘
全脑血管造影术%腹主动脉造影%肾动脉狭窄%髂动脉狭窄
全腦血管造影術%腹主動脈造影%腎動脈狹窄%髂動脈狹窄
전뇌혈관조영술%복주동맥조영%신동맥협착%가동맥협착
Cerebral angiography%Abdominal aortography%Renal artery stenosis%Coxa artery stenosis
目的:评估在全脑血管造影术中顺路行腹主动脉造影的可行性、安全性及其临床意义。方法总结81例在全脑血管造影术中顺路行腹主动脉造影患者的临床资料,分析其肾动脉及髂动脉狭窄检出率及其相关因素,并测定术前术后血清肌酐变化,以评估该检查的安全性。结果全脑血管造影术中顺路行腹主动脉造影简单易行、安全,造影前后血清肌酐无明显变化[术前(76±11)μmol/L ,术后(79±9)μmol/L](P>0.05);肾动脉狭窄检出率为26%,髂动脉狭窄检出率为20%,肾动脉及髂动脉狭窄总体检出率为33%;有3个及3个以上危险因素的患者其肾动脉及髂动脉狭窄总体检出率明显增高(56%)。结论在全脑血管造影中顺路行腹主动脉造影是安全、简单、可行的,对发现肾动脉、髂动脉狭窄有重要意义。
目的:評估在全腦血管造影術中順路行腹主動脈造影的可行性、安全性及其臨床意義。方法總結81例在全腦血管造影術中順路行腹主動脈造影患者的臨床資料,分析其腎動脈及髂動脈狹窄檢齣率及其相關因素,併測定術前術後血清肌酐變化,以評估該檢查的安全性。結果全腦血管造影術中順路行腹主動脈造影簡單易行、安全,造影前後血清肌酐無明顯變化[術前(76±11)μmol/L ,術後(79±9)μmol/L](P>0.05);腎動脈狹窄檢齣率為26%,髂動脈狹窄檢齣率為20%,腎動脈及髂動脈狹窄總體檢齣率為33%;有3箇及3箇以上危險因素的患者其腎動脈及髂動脈狹窄總體檢齣率明顯增高(56%)。結論在全腦血管造影中順路行腹主動脈造影是安全、簡單、可行的,對髮現腎動脈、髂動脈狹窄有重要意義。
목적:평고재전뇌혈관조영술중순로행복주동맥조영적가행성、안전성급기림상의의。방법총결81례재전뇌혈관조영술중순로행복주동맥조영환자적림상자료,분석기신동맥급가동맥협착검출솔급기상관인소,병측정술전술후혈청기항변화,이평고해검사적안전성。결과전뇌혈관조영술중순로행복주동맥조영간단역행、안전,조영전후혈청기항무명현변화[술전(76±11)μmol/L ,술후(79±9)μmol/L](P>0.05);신동맥협착검출솔위26%,가동맥협착검출솔위20%,신동맥급가동맥협착총체검출솔위33%;유3개급3개이상위험인소적환자기신동맥급가동맥협착총체검출솔명현증고(56%)。결론재전뇌혈관조영중순로행복주동맥조영시안전、간단、가행적,대발현신동맥、가동맥협착유중요의의。
Objective To assess the feasibility ,safety and clinical significance for performing abdominal aortogra-phy during cerebral angiography . Methods Summarize all the clinical data for 81 cases of performing abdominal aortography during cerebral angiography ,and use it to analyze the detection rate and relevant factors for renal and coxa artery stenosis .Also measure the change of serum creatinine level from before to after the surgery so as to as-sess the safety of such check . Results Performing abdominal aortography during cerebral angiography is an easy and safe operation with no evident change of serum creatinine level from before to after such operation [(76 ± 11)μmol/L before surgery and (79 ± 9)μmol/L after surgery ,for which](P>0.05);the detection rate is 26% for re-nal artery stenosis and 20% for coxa artery stenosis .General detection rate for renal and coxa artery stenosis is 33% ,and for any patient with three or more than 3 risk factors ,the general detection rate for renal and coxa artery stenosis is notably higher (56% ) . Conclusion Performing abdominal aortography during cerebral angiography is safe ,easy and feasible .Therefore ,it is of great significance in terms of identifying renal and coxa artery stenosis .