副肾动脉直径与肾血管性高血压的相关性

发布时间：2018-05-17 10:13

本文选题：体层摄影术 + X线计算机　；参考：《中国医学影像技术》2015年02期

【摘要】：目的探讨副肾动脉(ARA)直径与肾血管性高血压的关系。方法回顾性分析28例肾血管性高血压伴ARA患者及81例存在ARA但无高血压者,采用MSCTA观察ARA的支数、起源及走行。测量ARA直径,分析ARA直径与肾血管性高血压的关系。结果病例组年龄(30.6±7.5)小于对照组(49.1±13.1),差异有统计学意义(P0.05)。病例组及对照组共检出133支ARA,其中右侧62支(62/133,46.62%),左侧71支(71/133,53.38%)。89支(89/133,66.92%)ARA主要起源于腹主动脉,41支(41/133,30.83%)为早发分支,另有2支(2/133,1.50%)起源于肠系膜下动脉,1支(1/133,0.75%)起源于肠系膜上动脉。109例中,1支型89例(89/109,81.65%),2支型17例(17/109,15.60%),3支型2例(2/109,1.83%),4支型1例(1/109,0.92%)。病例组ARA直径与同侧肾动脉直径比值(0.87±0.11)大于对照组(0.33±0.13),双侧肾动脉直径比值(0.71±0.17)小于对照组(0.94±0.05),二者差异均有统计学意义(P均0.05)。结论 MSCTA检查能够清晰显示ARA支数、起源及走行。ARA直径粗大与肾血管性高血压有关。
[Abstract]:Objective to investigate the relationship between the diameter of accessory renal artery (ARAA) and renal vascular hypertension (RVH). Methods 28 patients with Renovascular hypertension with ARA and 81 patients with ARA but no hypertension were analyzed retrospectively. MSCTA was used to observe the number, origin and course of ARA. The diameter of ARA was measured and the relationship between ARA diameter and Renovascular hypertension was analyzed. Results the age of the case group was 30.6 卤7.5), which was significantly lower than that of the control group (49.1 卤13.1). A total of 133 ARAs were detected in the case group and the control group, of which 62 ARAs were found on the right side (62 / 133R / 46.62A) and 71 on the left (71 / 133 / 53.38). 89 branches of ARA originated mainly from 41 of 41 abdominal aortic cavities (41 / 1330.83b) as early branches. There are also two branches of 2 / 13 / 1. 50) originated from the inferior mesenteric artery, 1 / 1 / 1 / 1 / 1 / 1 / 1 / 3 / 0.75) originated from the superior mesenteric artery in 89 cases of 89 / 109 / 89 / 89 / 89 / 89 / 89 / 89 / 89 / 81.65 / 2 of 17 / 17 / 17 / 17 / 17 / 17 of 17 / 17 / 10 / 10 / 15 / 603 / 2 / 2 / 2109 / 1 / 833 / 4 / 1 / 10 / 109 / 1 / 1 / 109 / 2 / 1 / 1 / 109 / 2. The ratio of ARA diameter to ipsilateral renal artery diameter was 0.87 卤0.11 in the case group and 0.33 卤0.13 in the control group. The ratio of bilateral renal artery diameter was 0.71 卤0.17 in the control group and 0.94 卤0.05 in the control group. The difference between the two groups was statistically significant (P < 0.05). Conclusion MSCTA can clearly show the number, origin and course of ARA. The coarse diameter of ARA is related to Renal vascular hypertension.
【作者单位】：宁夏医科大学总医院放射科;银川永宁县人民医院儿科;
【分类号】：R544.14;R816.7

【相似文献】