[1]赵继华,袁卫红.肾动脉狭窄诊断方法的研究进展[J].国际放射医学核医学杂志,2011,35(6):350-353.[doi:10.3760,cma.j.issn.1673-4114.2011.06.007]
 ZHAO Ji-hua,YUAN Wei-hong.Development of diagnostic methods of renal artery steilosis[J].International Journal of Radiation Medicine and Nuclear Medicine,2011,35(6):350-353.[doi:10.3760,cma.j.issn.1673-4114.2011.06.007]
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《国际放射医学核医学杂志》[ISSN:1673-4114/CN:12-1381/R]

卷:
35
期数:
2011年第6期
页码:
350-353
栏目:
实验核医学
出版日期:
1900-01-01

文章信息/Info

Title:
Development of diagnostic methods of renal artery steilosis
作者:
赵继华1 袁卫红2
1. 中国人民解放军成都军区昆明总医院核医学科、PET-CT中心, 昆明 650032;
2. 昆明医学院第二附属医院核医学科, 昆明 650101
Author(s):
ZHAO Ji-hua1 YUAN Wei-hong2
Department of Nuclear Medicine and PET-CT Center, Kunming General Hospital of Chengdu Military Command of Chinese People’s Libration Army, Kunming 650032, China
关键词:
肾动脉梗阻超声检查多普勒彩色体层摄影术螺旋计算机磁共振血管造影术放射性核素显像
Keywords:
Renal artery obstructionUhrasonographydopplercolorTomographyspiral com-putedMagnetic resonance angiographyRadionuclide imaging
DOI:
10.3760,cma.j.issn.1673-4114.2011.06.007
摘要:
随着医学科技的发展,肾动脉狭窄的筛查和诊断手段也在不断更新。一般而言,彩色多普勒超声的应用最为广泛,其次是多层螺旋CT血管成像、磁共振血管造影以及放射性核素显像。目前,肾动脉造影术是比较可靠的诊断技术,同时也是指导介入治疗的必不可少的手段。该文主要从以上几种检查方法的诊断标准、特异度、灵敏度和优缺点等方面进行了阐述,并对放射性核素SPECT肾动态显像的发展作了一些展望。
Abstract:
With the incessant development of medical technology,the methods of screening and diagnosis for renal artery stenosis are constantly updated.In generl,the most widely used method is color doppler ultrasound,and then the multi-slice spiral CT angiography,MRI and the radionuclide imaging. Renal artery angiography is not only one kind of reliable diagnostic technique,but also an absolutely necessary means to guide the interventional treatment.This review mainly describes the above methods from diagnosis standards,specificity,sensitivity,advantages and disadvantages.Furthermore,it also offers some forward-looking visions from the development of the radionuclide imaging by SPECT.

参考文献/References:

[1] 蒋雄京,吴海英,明广华,等.支架置人重建血运治疗肾动脉狭窄中期临床结果.中华心血管病杂志,2005,33(3):224-227.
[2] Conkbayir I,YÜcesoy C,EdgÜer T,et al.Doppler sonography in renal artery stenosis.An evaluation of in trarenal and extrarenal imaging parameters.Clin Imaging,2003,27(4):256-260.
[3] 刘力生.高血压.北京:人民卫生出版社,2001:622-630.
[4] Vasan RS,Evans JC,Larson MG,et al.Serum aldosterone and the incidence of hypertension in nonhypertensive persons.N Engl J Med,2004,351(1):33-41.
[5] Vasan RS,Evans JC,Benjamin EJ,et al.Relations of serum aldosterone to cardiac structure:gender-related differences in the Framingham Heart Study.Hypertension,2004,43(5):957-962.
[6] 动脉粥样硬化性肾动脉狭窄诊治中国专家建议(2010)写作组,中华医学会老年医学分会,《中华老年医学杂志》编辑委员会.动脉粥样硬化性肾动脉狭窄诊治中国专家建议(2010).中华老年医学杂志,2010,29(4):265-270.
[7] Paraskevas KI,Hamilton G,Cross JM,et al.Atherosclerotic renal artery stenosis:association with emerging vascular risk factors.Nephron Clin Pract,2008,108(1):c56-c66.
[8] Rundback JH,Sacks D,Kent KC,et al.Guidelines for the reporting of renal artery revascularization in clinical trials.J Vasc Interv Rad-iol,2002,13(10):959-974.
[9] Hoffmann U,Edwards JM,Carter S,et al.Role of duplex scanning for the detection of atheroseleretic renal artery disease.Kidney Int,1991,39(6):1232-1239.
[10] Olin JW.Role of the duplex ultrasonography in screening for significant renal artery disease.Urol Clin North Am,1994,21(2):215-226
[11] Olin JW,Piedmonte MR,Young JR,et al.The utility of duplex ultrasound scanning of the renal arteries for diagnosing significant renal artery stenosis.Ann Intern Med,1995,122(11):833-838.
[12] 李建初,张缙熙,周墨宽,等.彩色多普勒超声对肾动脉狭窄的评价.中华超声影像学杂志,1996,5(4):159-161.
[13] Drieghe B,Madaric J,Sarno G,et al.Assessment of renal artery stenosis:side-by-side comparison of angiography and duplex ultra-sound with pressure gradient measurements.Eur Heart J,2008,29(4):517-524.
[14] 陈杨,文晓蓉,罗燕,等.彩色多普勒超声在肾动脉狭窄诊断中的应用.华西医学,2010,25(12):2210-2213.
[15] 杨好意,张青萍,乐桂容,等.多普勒超声对肾动脉狭窄的筛查诊断价值.内科急危重症杂志,2010,16(3):128-130,142.
[16] 王蕾,张一休,李建初,等.多普勒超声联合指标在肾动脉狭窄诊断中的应用[J/CD].中华医学超声杂志:电子版2010,7(5):754-760.
[17] 王锡明,武乐斌,邵广瑞,等.多层螺旋CT成像技术在全身血管造影中的应用.中国医学影像技术,2002,18(4):333-334.
[18] Fraioli F,Catalano C,Bertoletti L,et al.Multidetector.row CT an giography of renal artery stenosis in 50 consecutive patients:prospective interobserver comparison with DSA.Radial Med,2006,111(3):459-468.
[19] Schoenberg SO,Aumann S,Just A,et al.Quantification of renal perfusion abnormalities using an intravascular contrast agent (part 2):results in animals and humans with renal artery stenosis.Magn Reson Med,2003,49(2):288-298.
[20] Aumann S,Schoenberg SO,Just A,et al.Quantification of renal perfusion using an intravascular contrast agent (part 1):results in a canine model.Magn Reson Med,2003,49(2):276-287.
[21] Paul JF,Ugolini P,Sapoval M,et al.Unilateral renal artery steno-sis:perfusion patterns with electron-beam dynamic CT-prelimi-nary experience.Radiology,2001,221(1):261-265.
[22] 何悦明,郑爽爽,杨振涛,等.肾动脉狭窄的肾脏CT血流灌注参数研究.医学影像学杂志,2011,21(1):85-88.
[23] Gayard P,Garcier JM,Boire JY,et al.Spiral CT quantification of aorto-renal calcification and its use in the detection of atherema-tous renal artery stenosis:A study in 42 patients.Cardiovasc Intervent Radiol,2000,23(1):17-21.
[24] 张颖.肾动脉狭窄诊治的研究进展.继续医学教育,2010.24(3):64-66.
[25] Fenchel M,Martirosian P,Langanke J,et al.Perfusion MR imaging with FAIR true FISP spin labeling in patients with and without renal artery stenosis:initial experience.Radiology,2006,238(3):1013-1021.
[26] 陈燕浩,金朝林,张树桐,等.64层螺旋CT的CTA和DSA在肾动脉狭窄研究中的应用.放射学实践,2008,23(4):414-416.
[27] 吕敏文,黎国辉,袁学文.螺旋CT血管造影在诊断肾动脉狭窄中的临床应用.国际医药卫生导报,2010,16(2):170-173.
[28] 常长,赵丽君,张金辉.CTRA在肾动脉狭窄患者中的临床应用.中国误诊学杂志,2011,11(4):796-797.

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备注/Memo

备注/Memo:
收稿日期:2011-07-13。
通讯作者:袁卫红(Email:yuantianhe@163.com)
更新日期/Last Update: 1900-01-01