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[放射性核素方法在肾血管性高血压诊断成像中的地位]

[The place of radionuclide methods in diagnostic imaging of renovascular hypertension].

作者信息

Pilecki S, Kedziora K, Lass P, Lasek W

机构信息

Katedry i Zakładu Radiologii i Diagnostyki Narzadowej Akademii Medycznej w Bydgoszczy.

出版信息

Pol Merkur Lekarski. 1999 Apr;6(34):220-3.

Abstract

Numerous investigations and tests are used for diagnosis of renovascular hypertension. From many imaging techniques that are applied in radiology and nuclear medicine we selected those which give us high effectiveness in diagnosing a renal artery stenosis. Choosing from the range of radiological methods we focused on ultrasonography with the "color doppler" and "power doppler" option, renal arteriography and magnetic resonance angiography. Nuclear medicine offers us renal scintigraphy and its modification--renal scintigraphy with the administration of captopril. The high sensitivity of renal scintigraphy with the use of captopril incapables us to detect a stenosis of haemodynamic significance. This is of essential value for planning surgical revascularisation procedures.

摘要

众多检查和测试用于肾血管性高血压的诊断。在放射学和核医学应用的众多成像技术中,我们选择了那些在诊断肾动脉狭窄方面具有高效性的技术。在一系列放射学方法中,我们重点关注了具备“彩色多普勒”和“能量多普勒”功能的超声检查、肾动脉造影和磁共振血管造影。核医学为我们提供了肾闪烁扫描及其改进方法——服用卡托普利后的肾闪烁扫描。服用卡托普利的肾闪烁扫描具有高灵敏度,使我们能够检测出具有血流动力学意义的狭窄。这对于规划手术血运重建程序具有至关重要的价值。

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