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声像图评价慢性肾病的重要指标──肾皮质厚度的测量 被引量:3

An Important Index of Evaluating Chronic Renal Disease on Sonography: Measurment of Renal Cortical Thickness
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摘要 对慢性肾小球肾炎患者的肾皮质厚度在声像图上进行了测量.结果显示:当血肌酐值>176μmol/L时,患者的肾皮质厚度明显薄于对照组(P<0.01).肾皮质厚度与血肌酐水平呈显著的负相关(r=-0.902,P<0.01).当尿蛋白含量>5g/24h时,肾皮质厚度明显厚于对照组(P<0.01),皮质厚度与尿蛋白含量呈显著的正相关(r=0.88,P<0.01).肾皮质厚度形态学的改变与肾功能指标(血肌酐值和尿蛋白含量)的改变是一致的.所以肾皮质厚度是声像图评价肾病的一个重要指标.它与血肌酐值和尿蛋白相结合对估测肾脏损害的程度、萎缩情况以及鉴别急慢性肾衰、判断预后有着重要的价值. Renal cortical thickness of the patrients with nephritis and normal subjects were measured with sonography. The results showed that cortical thickness of abnormal subjects with nephritis was thinner than that of normal subjects as serum creatinine of abnormal subjects was beyond 176 μmol/L. Abnormal subjects were divided into six groups. Resuits of the regression analysis show a good correlation between cortical thickness and level of serum creatinine, urine-protein. Ultrasonographic change of renal morphology represents in agreement with change of renal function tests. The thinner is the cortical thickness , the higher is the serum creatinine.Measurment of renal cortical thickness may be of value as reference criteria for assessing chronic renal disease. Cortical thickness with renal function tests has evaluated the degree of renal lesion, renal atrophy and discriminated from ARF and CRF.
出处 《中华物理医学杂志》 CAS CSCD 1994年第1期8-10,共3页 Chinese Journal of Physical Medicine and Rehabilitation
关键词 肾皮质 肾测量 超声波 renal cortex renal measurment ultrasound
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  • 1许玉峰,唐光健.CT测量肾脏皮质厚度与年龄关系的研究[J].中华放射学杂志,2004,38(8):805-810. 被引量:26
  • 2Anderson S, Brenner BM. The aging kidney: structure, function, mechanisms, and therapeutic implications[J]. J Am Geriatr Soc, 1987 ; 35(6): 590-593
  • 3Mounier-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
  • 4Kasiske 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
  • 5Heuer 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
  • 6Meyer BR. Renal function in aging[J]. J Am Geriatr Soc, 1989; 37(8): 791-800
  • 7俞雨生,黎磊石,姚小丹,王庆文,章旭,刘传华,杨斌,付宁华,程绍华.肾皮质厚度测定对肾脏疾病诊断及预后判断的意义[J].中华肾脏病杂志,1995,11(S1):46-47. 被引量:2

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