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多层螺旋CT在活体肾移植术前左肾静脉解剖评估中的价值

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多层螺旋CT在活体肾移植术前左肾静脉解剖评估中的价值

陶舒敏;张喆;吉秋;孔祥;张龙江

【期刊名称】《实用器官移植电子杂志》 【年(卷),期】2016(004)004

【摘要】Objective To discuss the left renal vein anatomy at multi-detector

row

CT

and

the

implications

for

living

renal

transplantation.Methods The left renal vein anatomy and the branches in79 living renal transplantation donors who underwent contrast-enhanced CT angiography were analyzed retrospectively in this study. Maximum intensity projection, curve planar reformation and volume renderings were used for displaying the left renal vein anatomy. Anomalies of left renal vein and branches were recorded and classified.Results Left renal veins were all visualized on late arterial and venous phase CT images in all subjects. There were one case of circumaortic renal vein(n=1) and one case of left inferior vena cava(n=1).0 or1 adrenal vein,0 to2 lumbar veins and0 to 2 gonadal veins were found in each donor.Conclusion Among the left renal vein branches, the number of lumbar vein varied more frequently,multiple gonadal veins were detected in some subjects. Left renal vein branches should be handled carefully to avoid massive haemorrhage in left nephrectomy.%目的:探讨左肾静脉解剖变异及其属支在多层螺旋CT中的表现及其对活体肾移植的意义。方法回顾性分析79例行多层螺旋CT增强的肾移

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