全脑血管造影术中顺路行腹主动脉造影81例临床分析

目的评估在全脑血管造影术中顺路行腹主动脉造影的可行性、安全性及其临床意义。方法总结81例在全脑血管造影术中顺路行腹主动脉造影患者的临床资料,分析其肾动脉及髂动脉狭窄检出率及其相关因素,并测定术前术后血清肌酐变化,以评估该检查的安全性。结果全脑血管造影术中顺路行腹主动脉造影简单易行、安全,造影前后血清肌酐无明显变化[术前(76±11)μmol/L,术后(79±9)μmol/L](P0.05);肾动脉狭窄检出率为26%,髂动脉狭窄检出率为20%,肾动脉及髂动脉狭窄总体检出率为33%;有3个及3个以上危险因素的患者其肾动脉及髂动脉狭窄总体检出率明显增高(56%)。结论在全脑血管造影中顺路行腹主动脉造影是安全、简单、可行的,对发现肾动脉、髂动脉狭窄有重要意义。

Clinical Analysis on 81 cases of Performing Abdominal Aortography during Cerebral Angiography

Objective To assess the feasibility ,safety and clinical significance for performing abdominal aortogra-phy during cerebral angiography . Methods Summarize all the clinical data for 81 cases of performing abdominal aortography during cerebral angiography ,and use it to analyze the detection rate and relevant factors for renal and coxa artery stenosis .Also measure the change of serum creatinine level from before to after the surgery so as to as-sess the safety of such check . Results Performing abdominal aortography during cerebral angiography is an easy and safe operation with no evident change of serum creatinine level from before to after such operation [（76 ± 11）μmol/L before surgery and （79 ± 9）μmol/L after surgery ,for which]（P＆gt;0.05）;the detection rate is 26% for re-nal artery stenosis and 20% for coxa artery stenosis .General detection rate for renal and coxa artery stenosis is 33% ,and for any patient with three or more than 3 risk factors ,the general detection rate for renal and coxa artery stenosis is notably higher （56% ） . Conclusion Performing abdominal aortography during cerebral angiography is safe ,easy and feasible .Therefore ,it is of great significance in terms of identifying renal and coxa artery stenosis .