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1. 重庆医科大学附属第一医院超声科
2. 重庆医科大学超声影像学研究所
纸质出版日期:2011,
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[1]黄晓玲,王志刚.肾动脉狭窄的超声造影表现[J].重庆医科大学学报,2011,36(05):599-601.
HUANG Xiao-ling1, WANG Zhi-gang2. Performance of contrast-enhanced ultrasonography in renal artery stenosis[J]. Journal of Chongqing Medical University, 2011,36(5):599-601.
[1]黄晓玲,王志刚.肾动脉狭窄的超声造影表现[J].重庆医科大学学报,2011,36(05):599-601. DOI: 10.13406/j.cnki.cyxb.2011.05.008.
HUANG Xiao-ling1, WANG Zhi-gang2. Performance of contrast-enhanced ultrasonography in renal artery stenosis[J]. Journal of Chongqing Medical University, 2011,36(5):599-601. DOI: 10.13406/j.cnki.cyxb.2011.05.008.
目的:研究肾动脉狭窄时肾实质超声造影表现。方法:通过手术结扎兔左肾动脉
建立不同程度肾动脉狭窄动物模型
以计算机断层血管成像(Computed tomographic angiography
CTA)检查结果将实验兔分为4组
Ⅰ组:肾动脉狭窄
<
50%
Ⅱ组:肾动脉狭窄50%
6
9%
Ⅲ组:肾动脉狭窄70%
9
9%
Ⅳ组:肾动脉完全闭塞。对各实验兔进行超声造影检查
对比分析各组兔左肾实质超声造影的时间-强度曲线
指标包括:①造影剂到达时间(Arrive time
AT);②达峰时间(Time to peak
TTP);③峰值强度与基础强度差值(Difference between peak and base intensity
PBD);④曲线上升斜率β。结果:当狭窄
>
50%时
除Ⅱ组肾实质TTP与正常对照组相比差异无统计学意义外(P
>
0.05)
其余各组兔肾实质各项指标与正常对照组相比差异均有统计学意义(P
<
0.05)
表现为AT、TTP延长
PBD降低、β减小
但Ⅱ组与Ⅰ组相比TTP及β的改变无统计学意义(P
>
0.05)。结论:当肾动脉狭窄
>
50%时
与正常对照组相比
肾实质灰阶超声造影各指标中
除Ⅱ组的TTP改变不明显外
其余各组兔各项指标均有明显改变
差异有统计学意义。
Objective:To study the performance of contrast-enhanced ultrasonography in renal artery stenosis.Methods:Animal models of renal artery stenosis were established by operation in the left kidney of New Zealand rabbits
and divided into four groups according to the degrees of renal artery stenosis based on CTA.The degrees of stenosis were <50%
50%~69%
70%~99% and 100% in GroupⅠ
GroupⅡ
GroupⅢ and GroupⅣ
respectively.Contrast-enhanced ultrasonography was performed in all rabbits.The AT
TTP
PBS and β on the time-intensity curves of left kidneys of the four groups were compared with those of the control group.Results:All the parameters of renal cortex and medulla in the four groups
except TTP of GroupⅡ
were statistically different from those of the control group when stenosis was more than 50%(P<0.05).However
the TTPs of GroupⅡ and GroupⅠ
and the βs of GroupⅢ and GroupⅡ had no significant differences.Conclusion:All the parameters of renal cortex and medulla in the four groups
except TTP in groupⅡ
are statistically different from those of the control group when renal artery stenosis is more than 50%.
超声造影CTA肾动脉狭窄
contrast-enhanced ultrasonographyCTArenal artery stenosis
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