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目的探讨64层螺旋CT肾血管成像(64-SCTRA)在肾移植术前评价活体供肾的临床应用价值。资料与方法对30例(男13例,女17例,年龄25～59岁,平均41岁)活体供肾者行术前64-SCTRA检查,并将其检查结果与移植取肾手术中所见及DSA检查结果相对照。结果30例均清晰显示肾动脉1～4级分支;显示副肾动脉者13例,肾门前动脉分支者6例,肾静脉多支者3例,多重肾动脉并多发狭窄1例。对肾血管的评估结果与取肾术中所见及DSA结果一致。结论64-SCTRA是肾移植术前评价活体供肾血管的无创、安全、经济、有效的检查方法。
Objective To evaluate the clinical value of 64-slice spiral CT renal angiography (64-SCTRA) for the evaluation of living donor kidney prior to renal transplantation. Materials and Methods Thirty patients (13 males and 17 females, aged 25-59 years, average 41 years old) underwent preoperative 64-SCTRA examinations, and the results were compared with those seen in transplant kidney surgery And DSA test results contrast. Results All the 30 cases showed the first to fourth branches of the renal artery clearly. Thirteen cases showed the accessory renal artery, six branches of the anterior renal artery, three branches of the renal vein and one case of multiple renal artery with multiple stenosis. The assessment of renal vessels was consistent with the findings of DSA and DSA. Conclusion 64-SCTRA is a noninvasive, safe, economical and effective method for the evaluation of living donor vessels before renal transplantation.