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[健康肾脏和肾肿瘤患者经心电图控制注射的血管密度测定法]

[Angiocinedensitometry with ECG-controlled injections in patients with healthy kidneys and kidney tumors].

作者信息

Buck J

出版信息

Radiologe. 1986 Jun;26(6):266-72.

PMID:3749500
Abstract

According to the method, the necessary equipment and actual attainment of measurements, the results of cinedensitometric evaluations are discussed. The results are based on angiographic examinations of 80 patients (41 hypernephroma and 39 normal kidneys) who have been studied using X-ray cinedensitometry. It could be proven that with the ECG-triggered injection of contrast-medium, measurements of the pulsatile flow in the renal artery during the various periods of heart-motions could be performed with a high degree of accuracy. Curves of the velocity of the bloodflow are therefore attainable. The average velocities of bloodflow show normal values of 8.5 ml/s in normal kidneys, which means 570 ml/min. In hypernephromas, there were increased velocities of bloodflow measuring up to 1400 ml/min, that is a maximal flow of 760 ml/min. Depending upon the pulsatile flow the curves of the bloodflow velocity are very distinctive. The examples of values of bloodflow velocity in hypertrophic kidneys or in hypervascularized renal tumors support these findings. The lower the measured flow velocity is, the more uniform the pattern of the flow profile will be.

摘要

根据该方法、必要的设备以及测量的实际成果,对电影密度测定评估结果进行了讨论。这些结果基于对80例患者(41例肾上腺肿瘤和39例正常肾脏)的血管造影检查,这些患者已通过X射线电影密度测定法进行了研究。可以证明,通过心电图触发注射造影剂,能够高度准确地测量心脏运动各个阶段肾动脉中的搏动血流。因此可以获得血流速度曲线。正常肾脏的血流平均速度显示正常值为8.5毫升/秒,即570毫升/分钟。在肾上腺肿瘤中,血流速度增加,测量值高达1400毫升/分钟,即最大流量为760毫升/分钟。根据搏动血流,血流速度曲线非常独特。肥厚性肾脏或血管丰富的肾肿瘤中的血流速度值示例支持了这些发现。测量的血流速度越低,血流剖面模式就越均匀。

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Radiologe. 1986 Jun;26(6):266-72.
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