目的 通過正常活體腎臟CT/MRI圖像的測量分析,探討成人活體腎臟面積、皮質(zhì)厚度等相關(guān)指標(biāo)測定的影響因素,為影像診斷工作提供幫助.
方法 收集2004年1～4月因非腎臟疾病在我院接受腹部CT增強掃描檢查的病例106例和接受腹部MRI檢查的病例58例,分別測量雙側(cè)腎臟皮質(zhì)厚度(TC)、皮質(zhì)面積(CA)、實質(zhì)面積(PA)和腎皮質(zhì)分?jǐn)?shù)(CF),并采用SPSS 11.5統(tǒng)計軟件包進(jìn)行統(tǒng)計分析,兩組間比較用t檢驗,多組間比較用方差分析.
結(jié)果 ?、僭贑T圖像上,左腎TC、CA、PA、CF值的均數(shù)及其95%CI分別為0.62(0.44,0.80)cm、7.2(4.1,10.2)cm2、18.2(10.7,25.7)cm2、39.3(30.3,48.3)%;MRI圖像上的相應(yīng)指標(biāo)分別為0.58(0.33,0.83)cm、7.5(3.5,11.3)cm2、14.8(8.5,21.1)cm2、50.2(32.8,67.6)%.右腎在CT上的相應(yīng)指標(biāo)為0.63(0.43,0.83)cm、7.3(4,11)cm2、18.1(11,25.3)cm2、39.9(32,48)%;MRI圖像上的相應(yīng)指標(biāo)分別為0.55(0.31,0.79)cm、7.3(4.4,10.3)cm2、15.6(10.1,21.1)cm2、47.3(30,65)%.②除CF值外,不同性別及年齡組別的TC、CA、PA值的組間差異均有統(tǒng)計學(xué)意義,并且隨年齡增大而減少,女性各項指標(biāo)小于男性,CF值也有隨年齡增大而減少的趨勢.③ MRI圖像上的多數(shù)指標(biāo)小于CT的相應(yīng)指標(biāo).
結(jié)論 本組資料所顯示的TC、CA、PA及CF值等指標(biāo)能夠較好地反映成人活體腎臟的大小和功能狀態(tài),可供制定CT和MRI等影像診斷工作的正常值時參考.
引用本文： 王娜,劉榮波,孔維芳,朱捷. 成人活體腎臟CT/MRI測量指標(biāo)分析及影響因素探討. 中國循證醫(yī)學(xué)雜志, 2004, 04(11): 771-777. doi: 復(fù)制
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| 1. | ［1］Yang B, Fang XZ, Yu YS, Fu NH, Cheng SH. An important index of evaluating chronic renal disease on sonography: measurement of renal cortical thickness[J]. Chin J Phys Med Rehabil, 1994; 16(1): 8-10. |
| 2. | 楊斌, 方熙珍, 俞雨生, 傅寧華, 程紹華. 聲像圖評價慢性腎病的重要指標(biāo)--腎皮質(zhì)厚度的測量[J]. 中華物理醫(yī)學(xué)雜志, 1994; 16(1): 8～10. |
| 3. | ［2］Anderson S, Brenner BM. The aging kidney: structure, function, mechanisms, and therapeutic implications[J]. J Am Geriatr Soc, 1987 ; 35(6): 590-593. |
| 4. | ［3］Mounier-Vehier C, Lions C, Devos P, Jaboureck O, Willoteaux S, Carre A, Beregi JP. Cortical thickness: an early morphological marker of atherosclerotic renal disease[J]. Kidney Int, 2002 ; 61(2): 591-598. |
| 5. | ［4］Kasiske BL, Umen AJ. The influence of age, sex, race, and body habitus on kidney weight in humans[J]. Arch Pathol Lab Med, 1986; 110(1): 55-60. |
| 6. | ［5］Xu YF, Tang GJ. Relationship between the thickness of the renal cortex and age: study with CT measurement[J]. Chin J Radid, 2004; 38(8): 805-810. |
| 7. | 許玉峰,唐光健. CT測量腎臟皮質(zhì)厚度與年齡關(guān)系的研究[J]. 中華放射學(xué)雜志, 2004, 38(8): 805～810. |
| 8. | ［6］Heuer R, Sommer G, Shortliffe LD. Evaluation of renalgrowth by magnetic resonance imaging and computerized tomography volumes[J]. J Urol, 2003; 170(4 Pt 2): 1 6591 663; discussion 1 663. |
| 9. | ［7］Meyer BR. Renal function in aging[J]. J Am Geriatr Soc, 1989; 37(8): 791-800. |
| 10. | ［8］Yu YS, Li LS. Measurement of renal cortical thickness for diagnosis and prognosis of renal disease[J]. Chinese Journal of Nephrology, 1995; 11(Suppl): 8, 46-47. |
| 11. | 俞雨生, 黎磊石. 腎皮質(zhì)厚度測定對腎臟疾病診斷及預(yù)后判斷的意義[J]. 中華腎臟病雜志, 1995, 11(增刊): 8, 46～47. |
- 1. ［1］Yang B, Fang XZ, Yu YS, Fu NH, Cheng SH. An important index of evaluating chronic renal disease on sonography: measurement of renal cortical thickness[J]. Chin J Phys Med Rehabil, 1994; 16(1): 8-10.
- 2. 楊斌, 方熙珍, 俞雨生, 傅寧華, 程紹華. 聲像圖評價慢性腎病的重要指標(biāo)--腎皮質(zhì)厚度的測量[J]. 中華物理醫(yī)學(xué)雜志, 1994; 16(1): 8～10.
- 3. ［2］Anderson S, Brenner BM. The aging kidney: structure, function, mechanisms, and therapeutic implications[J]. J Am Geriatr Soc, 1987 ; 35(6): 590-593.
- 4. ［3］Mounier-Vehier C, Lions C, Devos P, Jaboureck O, Willoteaux S, Carre A, Beregi JP. Cortical thickness: an early morphological marker of atherosclerotic renal disease[J]. Kidney Int, 2002 ; 61(2): 591-598.
- 5. ［4］Kasiske BL, Umen AJ. The influence of age, sex, race, and body habitus on kidney weight in humans[J]. Arch Pathol Lab Med, 1986; 110(1): 55-60.
- 6. ［5］Xu YF, Tang GJ. Relationship between the thickness of the renal cortex and age: study with CT measurement[J]. Chin J Radid, 2004; 38(8): 805-810.
- 7. 許玉峰,唐光健. CT測量腎臟皮質(zhì)厚度與年齡關(guān)系的研究[J]. 中華放射學(xué)雜志, 2004, 38(8): 805～810.
- 8. ［6］Heuer R, Sommer G, Shortliffe LD. Evaluation of renalgrowth by magnetic resonance imaging and computerized tomography volumes[J]. J Urol, 2003; 170(4 Pt 2): 1 6591 663; discussion 1 663.
- 9. ［7］Meyer BR. Renal function in aging[J]. J Am Geriatr Soc, 1989; 37(8): 791-800.
- 10. ［8］Yu YS, Li LS. Measurement of renal cortical thickness for diagnosis and prognosis of renal disease[J]. Chinese Journal of Nephrology, 1995; 11(Suppl): 8, 46-47.
- 11. 俞雨生, 黎磊石. 腎皮質(zhì)厚度測定對腎臟疾病診斷及預(yù)后判斷的意義[J]. 中華腎臟病雜志, 1995, 11(增刊): 8, 46～47.