多排螺旋计算机断层扫描在活体肾供体评估中的作用。
Role of multidetector computed tomography for evaluation of living kidney donors.
作者信息
Asghari Baratali, Babaei Mansour, Pakroshan Bijan, Vaziriniya Alireza, Babamahmoodi Abdolreza
机构信息
Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran.
Urology Department, Besat Hospital, Tehran, IR Iran.
出版信息
Nephrourol Mon. 2013 Sep;5(4):870-3. doi: 10.5812/numonthly.10875. Epub 2013 Aug 12.
BACKGROUND
Kidney transplantation from living donors has been increased recently. Preoperative evaluation of living donor is important to select the appropriate kidney for transplantation and to decrease donor surgical complications.
OBJECTIVES
The aim of this study was to compare the accuracy of the use of multidetector computed tomography (MDCT) to evaluate vascular anatomy in living kidney donors with traditional angiography.
PATIENTS AND METHODS
A total number of 60 living kidney donors who underwent open surgical approach for transplantation were selected: Kidney anatomy of donors evaluated by CT angiography (group 1) or traditional angiographic examination (group 2). Renal vessels anatomy was compared with surgical findings in both groups.
RESULTS
The accuracy for detecting number of main renal arteries were not different in both groups which were 96.7% in CT angiography group and 90% in traditional angiography group (P = 0.15). The accuracy for detection of main renal veins were 100% in group 1 and 96.7% in group 2 (P = 0.31).
CONCLUSIONS
MDCT has the same accuracy as traditional angiography to detect renal abnormalities in living kidney donors.
背景
最近活体供肾移植数量有所增加。对活体供者进行术前评估对于选择合适的移植肾以及减少供者手术并发症至关重要。
目的
本研究旨在比较多层螺旋计算机断层扫描（MDCT）与传统血管造影术评估活体肾供者血管解剖结构的准确性。
患者与方法
选取60例接受开放手术进行移植的活体肾供者：供者的肾脏解剖结构通过CT血管造影（第1组）或传统血管造影检查（第2组）进行评估。比较两组的肾血管解剖结构与手术结果。
结果
两组检测主要肾动脉数量的准确性无差异，CT血管造影组为96.7%，传统血管造影组为90%（P = 0.15）。第1组检测主要肾静脉的准确性为100%，第2组为96.7%（P = 0.31）。
结论
MDCT在检测活体肾供者肾脏异常方面与传统血管造影术具有相同的准确性。
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