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山东大学学报(医学版) ›› 2011, Vol. 49 ›› Issue (7): 132-.

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CT测量肾脏相关横径与肾脏功能的相关性研究

张智宇,金讯波   

  1. 山东大学附属省立医院泌尿微创中心, 济南 250021
  • 收稿日期:2011-01-19 出版日期:2011-07-10 发布日期:2011-07-10
  • 通讯作者: 金讯波(1957- ),男,主任医师,教授,博士生导师,主要从事泌尿微创外科及肾移植方面的研究。E-mail:jinxunbo@163.com
  • 作者简介:张智宇(1982- ),男,硕士研究生,主要从事泌尿外科学方面的研究。

Correlation of kidney diameters measured by CT and renal function

ZHANG Zhi-yu, JIN Xun-bo   

  1. Center for Minimally Invasive Urology, Provincial Hospital Affiliated to Shandong University, Jinan 250021, China
  • Received:2011-01-19 Online:2011-07-10 Published:2011-07-10

摘要:

目的      研究肾脏相关横径(肾脏最大横截面及肾窦最大横截面)的电子计算机X射线断层扫描(CT)比值,探讨其与肾脏功能的相关性。方法      采用CT平扫,对肾脏及肾窦最大横径进行测量,采用线性相关进行分析,明确相关比值的数值。结果      肾脏的相关横径比值与肾脏功能之间存在线性关系,且呈正相关,肾脏相关横径比值越大,肾脏功能越好,反之亦然。逆行估计横径比值的临界值为3.41,当比值小于3.41时,肾脏即将或已经出现功能损害,表现为患侧GFR下降并可能低于正常值。结论      测量肾脏相关横径,明确其比值与肾脏功能之间关系,从而有效指导临床应用,避免肾功能进一步损害。

关键词: 肾脏功能;肾窦内脂肪;体层摄影术,X线计算机

Abstract:

Objective      To measure the ratio of kidney biggest cross-section and renal sinus biggest cross-section diameters by CT, and then analyze its relation with renal function. Methods      According to CT plain scan, kidney and renal sinus maximum horizontal diameters were measured. The linear correlation of the diameter ratio and renal function was analyzed and then the ratio significance was further defined. Results       There was a linear positive relationship between the diameter ratio of the kidney and renal function. The critical value for the ratio was retrogradely estimated as 3.41, and a ratio below 3.41 suggested kidney dysfunction and decreased glomerular filtration rate. Conclusion      The kidney diameter ratio can be used to assess renal function, so a kidney′s horizontal diameters should be measured by CT in patients in order to provide a basis for diagnosis and treatment and avoid further kidney dysfunction.

Key words: Renal function; Renal sinus fat; Tomography , X-ray computed

中图分类号: 

  • R692
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