中国组织工程研究与临床康复2011，Vol.15Issue(5)：827-830,4.DOI:10.3969/j.issn.1673-8225.2011.05.016
螺旋CT三维成像评估活体供肾血管
Preoperative evaluation of living donor renal vassels with three-dimensional 16-section computed tomography angiography
孙星慧 1陈自谦 2杨顺良 1吴卫真 1谭建明1
作者信息
- 1. 全军器官移植中心,解放军南京军区福州总医院,泌尿外科,福建省福州市,350025
- 2. 全军器官移植中心,解放军南京军区福州总医院放射科,福建省福州市,350025
- 折叠
摘要
Abstract
BACKGROUND: Preoperative imaging for evaluation of donor renal vessels is necessary to select a suitable donor and to plan an operative method.OBJECTIVE: To evaluate the sensitivity of 16-section CT angiography (CTA) as the primary imaging technique in preoperative living kidney donors.METHODS: A total of 59 cases had been evaluated preoperatively by 16-section CTA with 3-D reconstruction. Arterial anatomy described by skilled radiologists was compared with intraoperative findings. The sensitivity and accuracy of CTA examination of the renal vascular were analyzed.RESULTS AND CONCLUSION: Totally, the sensitivity and accuracy of CTA in renal artery were 96.6％ and 90.5％,respectively. Fifty donors were found to have single kidney artery du ring operation. For these donors, the diagnostic sensitivity and accuracy of CTA were 96.1 ％ and 92.9％, respectively. In 6 donors with two renal arteries, the sensitivity and accuracy of CTA both decreased to 83.3％. In 3 donors with three renal arteries, the sensitivity and accuracy of CTA were both 66.7％.The total diagnostic accu racy of 16-section CTA for multi-vessel renal artery was 77.7％. The noninvasive and three dimensional visual 16-section CTA examination can accurately and clearly predict arterial vasculature in more than 90.5％ of donors. It is also a better means for preoperative vascular assessment.关键词
螺旋CT血管显影/肾移植/活体供肾/血管显影/器官移植分类
医药卫生引用本文复制引用
孙星慧,陈自谦,杨顺良,吴卫真,谭建明..螺旋CT三维成像评估活体供肾血管[J].中国组织工程研究与临床康复,2011,15(5):827-830,4.
