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血管造影术在小肾患者诊断中的价值。

Value of angiography in the diagnosis of patients with small kidney.

作者信息

Mei Que-lin, Li Yan-hao, He Xiao-feng, Lu Wei, Zeng Qing-le, Wang Jiang-yun

机构信息

Department of Interventional Therapy, Nanfang Hospital, First Military Medical University, Guangzhou 510515, China.

出版信息

Di Yi Jun Yi Da Xue Xue Bao. 2004 Feb;24(2):232-4.

Abstract

OBJECTIVE

To explore the diagnostic value of angiography in small kidney patients.

METHODS

Angiographies were performed in 32 patients with small kidney of unknown etiology or with suspected renal arterial stenosis (RAS).

RESULTS

Twelve cases of renal atrophy due to RAS were diagnosed by angiography, which demonstrated renal artery stenoses or occlusions. Angiography of 17 patients with nephrogenic renal atrophy displayed homogeneous shrinkage of the renal arteries except in the ostium. In 3 patients with renal hypoplasia, angiography showed narrowed renal arteries and tiny renal arterial branches.

CONCLUSION

Renal artery angiography is of important values in the differential diagnosis between renal atrophy due to RAS, nephrogenic renal atrophy and non-renovascular renal atrophy, and renal hypoplasia.

摘要

目的

探讨血管造影术在小肾患者中的诊断价值。

方法

对32例病因不明的小肾患者或疑似肾动脉狭窄(RAS)患者进行血管造影术。

结果

血管造影术诊断出12例因RAS导致的肾萎缩,表现为肾动脉狭窄或闭塞。17例肾源性肾萎缩患者的血管造影显示肾动脉除开口处外均匀收缩。3例肾发育不全患者的血管造影显示肾动脉变窄及肾动脉小分支。

结论

肾动脉血管造影术在鉴别RAS所致肾萎缩、肾源性肾萎缩和非肾血管性肾萎缩以及肾发育不全方面具有重要价值。

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