摘要
目的探讨粥样硬化性肾动脉狭窄(atheroscleroticrenalarterystenosis,ARAS)临床提示线索的诊断预测意义。方法根据ARAS的临床提示线索前瞻性筛查阳性患者。以肾动脉造影(PRA)、肾动脉核磁共振成像(MRA)联合多普勒超声诊断或螺旋CT肾动脉成像(CTA)联合多普勒超声诊断为诊断金标准。结果(1)54.83%临床提示线索阳性患者经金标准确诊ARAS。(2)具有诊断预测意义的临床提示线索是加速性高血压、不明原因低血钾、腹部连续性血管杂音(P<0.05),提示线索双肾大小不对称接近于有统计学意义(P=0.0518),有关缺血性肾损害的各项临床提示线索未达统计学意义,心脏紊乱综合征的提示线索未有结论。结论临床提示线索可筛查54.83%的ARAS患者;已知的临床提示线索的诊断意义不一,其各项内容和临床意义有待深入研究。
Objective:To investigate the diagnostic predictive value of clinical clues of atherosclerotic renal artery stenosis (ARAS).Methods:Patients suspected of ARAS by any one of clinical clues at admission were screened. Percutaneous renal angiography (PRA),magnetic resonance angiography (MRA) in accordance with Doppler diagnosis or spiral computed tomography (CTA) in accordance with Doppler diagnosis were regarded as gold standard of diagnosis.Results:(1)54.83% of clinically suggestive cases were confirmed ARAS by gold standard methods.(2)Accelerated hypertension,unexplained hypokalemia, abdominal bruits were significant respectively (P<0.05),asymmetry kidney size was close to significance level (P=0.0518).None of clues indicating ischemic nephropathy reached significance,clinical clues concerning cardiac disturbance syndrome were not concluded because of fewer cases.Conclusion:Clinical clues predicted 54.83% of ARAS patients.The items of clinical clues possessed different clinical predictive value and should be further investigated.
出处
《中国中西医结合肾病杂志》
2005年第7期404-406,共3页
Chinese Journal of Integrated Traditional and Western Nephrology
基金
卫生部保健局保健科研基金资助项目(No.006)
