中国医疗设备
中國醫療設備
중국의료설비
CHINA MEDICAL EQUIPMENT
2014年
7期
163-165
,共3页
刘丽%李为民%曲世巍%李强%任春慧
劉麗%李為民%麯世巍%李彊%任春慧
류려%리위민%곡세외%리강%임춘혜
左肾静脉%主动脉后型左肾静脉压迫综合症%体层摄影技术%多层螺旋CT%胡桃夹综合症
左腎靜脈%主動脈後型左腎靜脈壓迫綜閤癥%體層攝影技術%多層螺鏇CT%鬍桃夾綜閤癥
좌신정맥%주동맥후형좌신정맥압박종합증%체층섭영기술%다층라선CT%호도협종합증
left renal vein%retroaortic left renal vein entrapment syndrome%tomography%multi-slice spiral CT%nut-craker syndrome
目的：探讨64层螺旋CT在主动脉后型左肾静脉压迫综合症中的临床诊断价值。方法疾病组9例主动脉后型左肾静脉压迫综合症患者，测量其横断面左肾静脉（LRV）扩张段最大前后径（d1）、狭窄段最小前后径（d2）、d1/d2及肾实质晚期时CT值（D）；正常组60例正常受检者左肾静脉近段最大前后径（d1）、夹角段前后径（d2），两组进行比较。结果9例主动脉后型左肾静脉压迫综合症患者及60例正常受检者主动脉、肠系膜上动脉及左肾静脉的解剖关系显示清晰，两组d1、d2、D分别为（14.5±2.3）mm、（3.6±0.7）mm 、（154.3±18.7）Hu及（10.5±2.1）mm、（9.0±1.9）mm、（178.5±21.0）Hu，疾病组与正常组间d1、d2、d1/d2、D比较有统计学意义（P＜0.05）。结论64层螺旋CT对主动脉后型左肾动脉压迫综合症的诊断具有重要临床意义。
目的：探討64層螺鏇CT在主動脈後型左腎靜脈壓迫綜閤癥中的臨床診斷價值。方法疾病組9例主動脈後型左腎靜脈壓迫綜閤癥患者，測量其橫斷麵左腎靜脈（LRV）擴張段最大前後徑（d1）、狹窄段最小前後徑（d2）、d1/d2及腎實質晚期時CT值（D）；正常組60例正常受檢者左腎靜脈近段最大前後徑（d1）、夾角段前後徑（d2），兩組進行比較。結果9例主動脈後型左腎靜脈壓迫綜閤癥患者及60例正常受檢者主動脈、腸繫膜上動脈及左腎靜脈的解剖關繫顯示清晰，兩組d1、d2、D分彆為（14.5±2.3）mm、（3.6±0.7）mm 、（154.3±18.7）Hu及（10.5±2.1）mm、（9.0±1.9）mm、（178.5±21.0）Hu，疾病組與正常組間d1、d2、d1/d2、D比較有統計學意義（P＜0.05）。結論64層螺鏇CT對主動脈後型左腎動脈壓迫綜閤癥的診斷具有重要臨床意義。
목적：탐토64층라선CT재주동맥후형좌신정맥압박종합증중적림상진단개치。방법질병조9례주동맥후형좌신정맥압박종합증환자，측량기횡단면좌신정맥（LRV）확장단최대전후경（d1）、협착단최소전후경（d2）、d1/d2급신실질만기시CT치（D）；정상조60례정상수검자좌신정맥근단최대전후경（d1）、협각단전후경（d2），량조진행비교。결과9례주동맥후형좌신정맥압박종합증환자급60례정상수검자주동맥、장계막상동맥급좌신정맥적해부관계현시청석，량조d1、d2、D분별위（14.5±2.3）mm、（3.6±0.7）mm 、（154.3±18.7）Hu급（10.5±2.1）mm、（9.0±1.9）mm、（178.5±21.0）Hu，질병조여정상조간d1、d2、d1/d2、D비교유통계학의의（P＜0.05）。결론64층라선CT대주동맥후형좌신동맥압박종합증적진단구유중요림상의의。
Objective To explore the clinical value of 64-slice spiral CT in diagnosing retroaortic left renal vein entrapment syndrome (RLRVES).Methods The maximum anteroposterior dimension (d1) of cross-sectional left renal vein (LRV) expansion segment and the minimum anteroposterior dimension (d2) of cross-sectional LRV narrow segment as well as the ratio between d1 and d2 and CT value (D) of late renal parenchyma of 9 patients with RLRVES who were selected as experimental group were measured. The maximum anteroposterior dimension (d1) of proximal segment of LRV and the anteroposterior dimension (d2) of angle segment of LRV of 60 normal subjects who were selected as control group were measured. The value of d1 and d2 as well as d1/d2 and D of control group were compared with those of experimental group.Results The anatomical relationship of abdominal aorta(AO), superior mesenteric artery (SMA) and left renal vein were clearly displayed with 64-slice spiral CT. The values of d1, d2 and D of experimental group were (14.5±2.3) mm, (3.6±0.7) mm, (154.3±18.7) Hu, respectively. The values of d1, d2 and D of control group were (10.5±2.1) mm, (9.0±1.9) mm, (178.5±21.0) Hu, respectively. The values of d1, d2, d1/d2 and D between the two groups were statistically different (P<0.05).Conclusion 64-slice Spiral CT has an important clinical signiifcance in diagnosing RLRVES.
