层螺旋CT血管成像副肾动脉分析.doc

64层螺旋CT血管成像副肾动脉分析 阚晓婧，罗天友*，吕发金，李咏梅，方维东，肖智博，张志伟，陆云峰 (重庆医科大学附属第一医院放射科,重庆 400016) *为通讯作者 [摘 要] 目的：运用64层螺旋CT血管成像技术（computed tomography angiography,CTA）研究副肾动脉(accessory renal artery,ARA)解剖，并讨论其显示ARA的能力。材料与方法：64层螺旋CT行135例肾动脉CTA,数据传至工作站重建并详细记录每侧副肾动脉情况。采用SAS 9.1.3软件统计分析。结果：56例(41.5%)患者发现ARA70支(20.9%)。1支型43例(76.7%)；2支型12例(21.4%)；3支型1例(1.9%)。左侧47支（67.1%）,右侧23支(32.9%)。腹主动脉起源者50支(71.5%)；早发分支20支(28.5%)。肾上端入肾者32支(45.7%)；肾下端入肾者25支(35.7%)；肾门周围入肾者13例(18.6%)。结论：64层螺旋CTA能够较好显示ARA，为血管造影术以及外科手术提供更多解剖学信息。 Evaluation of accessory renal arteries on 64-slice spiral computed tomography KAN Xiao-jing, LUO Tian-you, LU Fa-jin, LI Yong-mei, FANG Wei-dong, XIAO Zhi-bo, ZHANG Zhi-wei, LU Yun-feng (Department of Radiology, The First Affiliated Hospital, Chongqing Medical University, Chongqing 400016, China) Abstract: Objective To investigate accessory renal arteries (ARA) with 64-slice spiral computed tomography angiography (CTA) and discuss its capability in displaying ARA. Methods Renal artery CTA were performed in 135 patients. Then, all data were sent to work station, and three dimensional reconstruction of CTA was performed. All images were recorded.The statistical software of SAS 9.1.3 was used to analyze the results.Results Seventy ARA were found in 56 patients (20.9%), among which 67.1% (47/70) were on the left and 32.9% (23/70) on the right. 71.5% (50/70) of ARA originated form abdominal aorta and 28.5% (20/70) were of early branching. 45.7% (32/70) entered the upper kidney pole, and 35.7% (25/70) entered the lower kidney pole. Incidence of one and two ARA was 76.7% (43/56) and 21.4% (12/56); In addition, one had three ARA. Conclusion 64-slice spiral CTA can display ARA Key words: renal artery; accessory renal artery; CT angiography 副肾动脉(accessory renal artery,ARA)是肾脏最为重要，同时也是对临床极有意义的血管变异。应用CT血管成像技术研究肾动脉解剖的文献较多[1-3]，而研究副肾动脉的文献较少。本研究对135例来我院行全腹部扫描的患者动脉期图像行容积再现(volume rendering，VR)、最大密度投影(maximum intensity projection，MIP)、多平面重建法(multiplanar reformation, MPR)以及血管分析(vessel analysis，VA)，