1. 南方医科大学南海医院,广东,佛山,528244
2. 中山大学附属第一医院放射科,广东,广州,510080
纸质出版日期:2018,
网络出版日期:2018-3-10,
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张福康, 黄凯清, 陈桂泉, 等. 急性单侧上尿路梗阻肾周桥隔增厚与分肾功能的相关性[J]. 中山大学学报(医学科学版), 2018,39(2).
ZHANG Fu-kang, HUANG Kai-qing, CHEN Gui-quan, et al. Correlation of Bridging Septa Thickening in the Perinephric Space and Split Renal Function in Acute Unilateral Upper Urinary Tract Obstruction[J]. Journal of Sun Yat-sen University (Medical Sciences), 2018,39(2).
张福康, 黄凯清, 陈桂泉, 等. 急性单侧上尿路梗阻肾周桥隔增厚与分肾功能的相关性[J]. 中山大学学报(医学科学版), 2018,39(2). DOI:
ZHANG Fu-kang, HUANG Kai-qing, CHEN Gui-quan, et al. Correlation of Bridging Septa Thickening in the Perinephric Space and Split Renal Function in Acute Unilateral Upper Urinary Tract Obstruction[J]. Journal of Sun Yat-sen University (Medical Sciences), 2018,39(2). DOI:
【目的】探讨急性单侧上尿路梗阻肾周桥隔增厚与分肾功能的相关性。【方法】收集因结石所致急性 单侧上尿路梗阻病例50例,所有病例均行多排螺旋CT(MSCT)平扫及增强扫描;根据其是否存在肾周桥隔增厚, 分为有桥隔增厚组和无桥隔增厚组,各25例;测量双肾皮质平扫及增强扫描肾皮质期的CT值,采用独立样本 t 检验分析组间肾皮质 CT 增强值(CT 皮增-CT 皮平)及皮质期患侧与健侧皮质 CT 值比值(CT 患皮 /CT 健皮 )的差 异。【结果】有桥隔增厚组与无桥隔增厚组比较,肾皮质增强值分别为(103±30)HU及(128±24)HU,P<0.01;皮质 期患侧与健侧肾皮质CT值比值分别为0.81±0.13和0.96±0.06,P<0.01。【结论】急性单侧上尿路梗阻MSCT扫描出 现患侧肾周桥隔增厚时,肾皮质增强程度减低,患侧分肾功能损害的可能性增加。
【Objective】To study the relationship between bridging septa thickening in the perinephric space and split renal function in acute unilateral upper urinary tract obstruction.【Methods】50 patients with acute unilateral upper urinary tract obstruction by calculus were analyzed retrospectively. According to the images of multi-slice spiral CT (MSCT)scanning,all cases were divided into thickened bridging septa group(n=25)and normal bridging septa group (n=25),The CT values of renal cortical in the plain(CTp)and renal cortical enhancing(CTe)phase were measured, the difference of increasement value(CTe-CTp)and the CT value ratio of the ipsilateral and opposite in renal cortical phase was analyzed by independent sample T test.【Results】The CT increasement value of bridging septa thickening and normal group were(103±30)HU and(128±24)HU respectively,the difference between the two groups was statistically significant(P<0.01);and CTac/CTuc were 0.81±0.13 and 0.96±0.06 respectively(P<0.01).【Conclusion】Thickening of bridging septa in the perinephric space with acute unilateral upper urinary tract obstruction will weaken the enhancement of renal cortical,and increased the likelihood of split renal function impairing.
急性单侧上尿路梗阻桥隔增厚分肾功能多排螺旋CT(MSCT)
acute unilateral upper urinary tract obstructionbridging septa thickeningsplit renal functionmulti-slice spiral CT(MSCT)
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