超声造影诊断肾动脉狭窄临床应用研究
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摘要
肾动脉狭窄(RAS)是由多种病因引起的一种肾血管疾病,可引起多种严重的并发症,因此,临床上对本病的及时诊断尤为重要。然而现行的检查手段都存在诸多弊端,在这样的需求下,肾动脉超声造影应运而生,经过四十余年的发展,该项技术已日趋成熟,其无创、无辐射、无肾损伤、造影剂通过肺代谢等优点使其更容易被大众所接受,且有很大的发展空间和发展前景,本文在此将有关超声造影诊断肾动脉狭窄的临床应用研究进展予以综述。
Renal artery stenosis(RAS) is a renal vascular disease caused by a variety of causes, which may cause various serious complications.Therefore,clinical diagnosis of this disease is particularly important.However,the current examination methods have many drawbacks.In such a need,contrast-enhanced ultrasound of renal artery emerges.After more than 40 years of development,the technology has become more and more mature.It has advantages of noninvasive feature,no radiation,no kidney damage and metabolism of contrast agent through lung,which make it more easily accepted by the public.It has great development space and prospects.This paper will summarize the progress in the clinical application of contrast-enhanced ultrasound in the diagnosis of renal artery stenosis.
Renal artery stenosis(RAS) is a renal vascular disease caused by a variety of causes, which may cause various serious complications.Therefore,clinical diagnosis of this disease is particularly important.However,the current examination methods have many drawbacks.In such a need,contrast-enhanced ultrasound of renal artery emerges.After more than 40 years of development,the technology has become more and more mature.It has advantages of noninvasive feature,no radiation,no kidney damage and metabolism of contrast agent through lung,which make it more easily accepted by the public.It has great development space and prospects.This paper will summarize the progress in the clinical application of contrast-enhanced ultrasound in the diagnosis of renal artery stenosis.
引文
[1]王效增,荆全民,韩雅玲.肾动脉狭窄的研究进展[J].心血管康复医学杂志,2011,20(1):95-97.
[2]何清,何奔.肾动脉狭窄的诊断和治疗进展[J].内科理论与实践,2009,4(6):511-513.
[3]张晓东,李建初.超声诊断肾动脉狭窄的研究进展[J/CD].中华医学超声杂志(电子版),2013,10(3):185-188.
[4]刘学会,聂芳.超声造影在肾脏疾病中的应用及前景[J].国际医学放射学杂志,2014,37(6):556-559.
[5]陆敏,王迎春.超声造影技术在慢性肾病中的应用[J/CD].中华医学超声杂志(电子版),2014,11(10):786-788.
[6]Schneider AG,Goodwin MD,Schellman A,et al.Contrastenhanced ultrasound to evaluate changes in renal cortical perfusion around cardiac surgery:a pilot study[J].Crit Care,2013,17(4):R138.
[7]Mohmand H,Goldfarb S.Renal dysfunction associated with intra-abdominal hypertension and the abdominal compartment syndrome[J].J Am Soc Nephrol,2011,22(4):615-621.
[8]冯一星,勇强.实时灰阶超声造影在诊断肾动脉狭窄中的初步临床应用[J].心肺血管病杂志,2014,33(4):573-576.
[9]黄晓玲,王志刚.肾动脉狭窄的超声造影表现[J].重庆医科大学学报,2011,36(5):599-601.
[10]段秀芳,付遵峰,陆萍萍,等.超声诊断肾动脉性高血压的研究进展[J].医学综述,2015,21(20):3748-3750.
[11]Bruno S,Remuzzi G,Ruggenenti P.Transplant renal artery stenosis[J].Journal of the American Society of Nephrology Jasn,2004,15(1):134-141.
[12]张文华,万宇.移植肾动脉狭窄的球囊扩张及支架治疗[J].西南国防医药,2010,20(7):734-735.
[13]Fischer T,Ebeling V,Giessing M,et al.A new method for standardized diagnosis following renal transplantation:Ultrasound with contrast enhancement[J].Urologe A,2006,45(1):38-45.
[14]牛静,罗向阳.超声成像技术在移植肾并发症方面的应用研究[J].实用医学影像杂志,2015,16(4):352-355.
[15]刘海芳,冯一星,勇强,等.超声造影定量评价肾动脉狭窄支架置入术前术后实质血流灌注的研究[J].中国超声医学杂志,2014,30(10):908-910.
[16]薛立云,黄备建.慢性肾病的超声新技术研究进展[J].上海医学影像,2011,20(4):319-324.
[17]Ni H,Chen J,Pan M,et al.FTY720 prevents progression of renal fibrosis by inhibiting renal microvasculature endothelial dysfunction in a rat model of chronic kidney disease[J].J Mol Histol,2013,44(6):693-703.
[18]冯丽芳.超声造影在诊断肾动脉闭塞性病变中的应用价值[J].当代医学,2017,23(20):128-129.
[19]牛静,罗向阳.超声成像技术在移植肾并发症方面的应用研究[J].实用医学影像杂志,2015,16(4):352-355.
[20]李俊来,林静,王节,等.超声造影诊断肾动脉狭窄的临床研究[J/CD].中华医学超声杂志(电子版),2009,6(3):441-447.
[21]任俊红,王思宇,马娜,等.超声造影评价老年肾动脉狭窄患者的临床价值[J].中华老年医学杂志,2018,37(3):276-279.
[22]李春旭,王冰.多普勒超声、磁共振对比增强血管造影在肾动脉狭窄患者中的诊断价值比较[J].中国医学创新,2016,13(4):125-127.
[23]刘睿宏,张红菊,李煜,等.肾内血流参数在肾动脉狭窄超声诊断中的应用[J].中国当代医药,2016,23(9):66-68.
[24]张艳,马苏亚,谢晓红,等.二维联合实时三维超声造影在检测移植肾血管并发症中的应用[J].医学影像学杂志,2016,26(7):1255-1257,1274.
[25]王贤明,张振建,华先平,等.三维超声造影诊断慢性肠系膜上动脉狭窄的价值[J].中国超声医学杂志,2015,31(7):622-624.
[26]曾锦树,陈世良,许翔,等.超声造影在乳腺良恶性病灶鉴别诊断中的应用[J].中国超声医学杂志,2013,29(6):500-503.
[27]Helck A,D'Anastasi M,Notohamiprodjo M,et al.Improved visualization of renal lesions using threedimensional ultrasound-a feasibility study[J].Clin Hemorheol Microcirc,2011,49(1-4):537-550.
[28]Blebea J,Zickler R,Volteas N,et al.Duplex imaging of the renal arteries with contrast enhancement[J].Vascular and endovascular surgery,2003,37(6):429-436.
[29]马玲瑛,戴晓敏,姜林娣.超声造影在大血管病变中的应用[J].中华风湿病学杂志,2018,22(4):284-286.
[30]肖迎聪.超声造影在评价肾动脉狭窄中的价值[J].现代医药卫生,2011,27(18):2743-2744.
[2]何清,何奔.肾动脉狭窄的诊断和治疗进展[J].内科理论与实践,2009,4(6):511-513.
[3]张晓东,李建初.超声诊断肾动脉狭窄的研究进展[J/CD].中华医学超声杂志(电子版),2013,10(3):185-188.
[4]刘学会,聂芳.超声造影在肾脏疾病中的应用及前景[J].国际医学放射学杂志,2014,37(6):556-559.
[5]陆敏,王迎春.超声造影技术在慢性肾病中的应用[J/CD].中华医学超声杂志(电子版),2014,11(10):786-788.
[6]Schneider AG,Goodwin MD,Schellman A,et al.Contrastenhanced ultrasound to evaluate changes in renal cortical perfusion around cardiac surgery:a pilot study[J].Crit Care,2013,17(4):R138.
[7]Mohmand H,Goldfarb S.Renal dysfunction associated with intra-abdominal hypertension and the abdominal compartment syndrome[J].J Am Soc Nephrol,2011,22(4):615-621.
[8]冯一星,勇强.实时灰阶超声造影在诊断肾动脉狭窄中的初步临床应用[J].心肺血管病杂志,2014,33(4):573-576.
[9]黄晓玲,王志刚.肾动脉狭窄的超声造影表现[J].重庆医科大学学报,2011,36(5):599-601.
[10]段秀芳,付遵峰,陆萍萍,等.超声诊断肾动脉性高血压的研究进展[J].医学综述,2015,21(20):3748-3750.
[11]Bruno S,Remuzzi G,Ruggenenti P.Transplant renal artery stenosis[J].Journal of the American Society of Nephrology Jasn,2004,15(1):134-141.
[12]张文华,万宇.移植肾动脉狭窄的球囊扩张及支架治疗[J].西南国防医药,2010,20(7):734-735.
[13]Fischer T,Ebeling V,Giessing M,et al.A new method for standardized diagnosis following renal transplantation:Ultrasound with contrast enhancement[J].Urologe A,2006,45(1):38-45.
[14]牛静,罗向阳.超声成像技术在移植肾并发症方面的应用研究[J].实用医学影像杂志,2015,16(4):352-355.
[15]刘海芳,冯一星,勇强,等.超声造影定量评价肾动脉狭窄支架置入术前术后实质血流灌注的研究[J].中国超声医学杂志,2014,30(10):908-910.
[16]薛立云,黄备建.慢性肾病的超声新技术研究进展[J].上海医学影像,2011,20(4):319-324.
[17]Ni H,Chen J,Pan M,et al.FTY720 prevents progression of renal fibrosis by inhibiting renal microvasculature endothelial dysfunction in a rat model of chronic kidney disease[J].J Mol Histol,2013,44(6):693-703.
[18]冯丽芳.超声造影在诊断肾动脉闭塞性病变中的应用价值[J].当代医学,2017,23(20):128-129.
[19]牛静,罗向阳.超声成像技术在移植肾并发症方面的应用研究[J].实用医学影像杂志,2015,16(4):352-355.
[20]李俊来,林静,王节,等.超声造影诊断肾动脉狭窄的临床研究[J/CD].中华医学超声杂志(电子版),2009,6(3):441-447.
[21]任俊红,王思宇,马娜,等.超声造影评价老年肾动脉狭窄患者的临床价值[J].中华老年医学杂志,2018,37(3):276-279.
[22]李春旭,王冰.多普勒超声、磁共振对比增强血管造影在肾动脉狭窄患者中的诊断价值比较[J].中国医学创新,2016,13(4):125-127.
[23]刘睿宏,张红菊,李煜,等.肾内血流参数在肾动脉狭窄超声诊断中的应用[J].中国当代医药,2016,23(9):66-68.
[24]张艳,马苏亚,谢晓红,等.二维联合实时三维超声造影在检测移植肾血管并发症中的应用[J].医学影像学杂志,2016,26(7):1255-1257,1274.
[25]王贤明,张振建,华先平,等.三维超声造影诊断慢性肠系膜上动脉狭窄的价值[J].中国超声医学杂志,2015,31(7):622-624.
[26]曾锦树,陈世良,许翔,等.超声造影在乳腺良恶性病灶鉴别诊断中的应用[J].中国超声医学杂志,2013,29(6):500-503.
[27]Helck A,D'Anastasi M,Notohamiprodjo M,et al.Improved visualization of renal lesions using threedimensional ultrasound-a feasibility study[J].Clin Hemorheol Microcirc,2011,49(1-4):537-550.
[28]Blebea J,Zickler R,Volteas N,et al.Duplex imaging of the renal arteries with contrast enhancement[J].Vascular and endovascular surgery,2003,37(6):429-436.
[29]马玲瑛,戴晓敏,姜林娣.超声造影在大血管病变中的应用[J].中华风湿病学杂志,2018,22(4):284-286.
[30]肖迎聪.超声造影在评价肾动脉狭窄中的价值[J].现代医药卫生,2011,27(18):2743-2744.