CAJ | 학술논문

目的评价肾动脉256层螺旋CT三维血管造影(CTA)在腹腔镜肾脏手术术前评估中的价值.方法 155例行腹腔镜肾脏手术患者术前行肾动脉CTA,根据术前CTA所显示的肾动脉情况,初步计划术中处理肾动脉的情况,最后与实际手术情况相比较.结果所有患者术前肾动脉CTA结果与实际手术所见符合率100％.CTA的影像立体感强,很好地反映了肾血管的解剖结构和异位血管走行.结论 CTA能准确评价肾动脉的走形和变异情况,对于术中快速、准确的处理肾动脉,减少术中出血及损伤等并发症有重要意义.
목적 평개신동맥256층라선CT삼유혈관조영(CTA)재복강경신장수술술전평고중적개치.방법 155례행복강경신장수술환자술전행신동맥CTA,근거술전CTA소현시적신동맥정황,초보계화술중처리신동맥적정황,최후여실제수술정황상비교.결과 소유환자술전신동맥CTA결과여실제수술소견부합솔100％.CTA적영상입체감강,흔호지반영료신혈관적해부결구화이위혈관주행.결론 CTA능준학평개신동맥적주형화변이정황,대우술중쾌속、준학적처리신동맥,감소술중출혈급손상등병발증유중요의의.
Objective To investigate the clinical application of renal vessel angiography with 256-slice spiral CT in laparoscopic surgery for renals.Methods One hundred and fifty-five cases underwent computed tomograph angiography(CTA) who were all confirmed by operations.According to preoperative renal artery CTA case shown,the initial plan intraoperative renal artery was compared with the situation with the actual surgery.AIl axial images were reconstructed using technique.Results All patients underwent preoperative renal artery CTA operative findings correspond with the actual rate of 100％.CTA stereoscopic images were good at reflecting renal vascular anatomy and ectopic blood vessels line.Conclusion CTA can accurately evaluate out of shape and variation of the renal arteriesvariation.It has important significance of processing of renal arteries intraoperative rapid,dealing with the renal artery accurately and reducing blood loss or damage and other complications.