[1]赵 源,魏伟平,张 月,等.多模态影像技术在肾上腺静脉采血术中的应用[J].介入放射学杂志,2026,(04):412-417.[doi:10.3969/j.issn.1008-794X.2026.04.013 ]
　ZHAO Yuan,WEI Weiping,ZHANG Yue,et al.Application of multimodal imaging technology in adrenal venous sampling[J].J Intervent Med,2026,(04):412-417.[doi:10.3969/j.issn.1008-794X.2026.04.013 ]
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多模态影像技术在肾上腺静脉采血术中的应用()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2026年04
页码:
412-417
栏目:
临床研究
出版日期:
2026-04-15

文章信息/Info

Title:
Application of multimodal imaging technology in adrenal venous sampling
文章编号:
1008-794X(2026)-004-0412-06
作者:
赵 源;  魏伟平;  张 月;  赵 军;  张玉海
570311 海南海口 海南医科大学附属海南医院(海南省人民医院)内分泌科(赵 源、魏伟平、张玉海),放射科介入室(张 月、赵 军)
Author(s):
ZHAO Yuan; WEI Weiping; ZHANG Yue; ZHAO Jun; ZHANG Yuhai.
Department of Endocrinology,Affiliated Hainan Hospital of Hainan Medical University,Haikou,Hainan Province 570311,China; Interventional radiology suite,Affiliated Hainan Hospital of Hainan Medical University,Haikou,Hainan Province 570311,China
关键词:
肾上腺静脉采血;  DSA多模态影像技术;  血管标识
分类号:
R446.11
DOI:
10.3969/j.issn.1008-794X.2026.04.013
文献标志码:
B
摘要:
目的 肾上腺静脉采血术(adrenal vein sampling,AVS)是原发性醛固酮增多症分型诊断的金标准,肾上腺静脉定位(特别是右侧)是该手术成败的关键。探讨DSA多模态影像技术在肾上腺静脉采血术中的应用价值。方法 回顾性分析从2022年9月至2024年10月在海南医科大学附属海南医院接受AVS的136例原发性醛固酮增多症(primary aldosteronism,PA)患者,男74例,女62例,年龄24～71岁。所有患者经肾上腺CT筛查和盐水负荷/卡托普利试验确诊为原发性醛固酮增多症,根据双侧肾上腺静脉采血术中影像定位方法分为两组,其中A组为2022年9月至2023年9月52例采用常规DSA影像术中定位,B组为2023年10月至2024年10月84例采用多模态影像技术(DSA重建CT影像)术中定位。比较两组定位方法的术前定位影像分析时间、右肾上腺静脉开口可见率、左肾上腺中央静脉开口可见率、下腔静脉到达右肾上腺静脉采血时间,右肾上腺静脉采血完成到达左肾上腺静脉采血时间、稀释对比剂用量、曝光时间、手术时间和采血术成功率。结果 术前定位影像分析时间、右肾上腺静脉开口可见率、下腔静脉到达右肾上腺静脉采血时间、对比剂用量、曝光时间和手术时间差异均有统计学意义(P<0.05)。结论 在肾上腺静脉采血术中应用DSA多模态影像技术重建CT影像进行定位,能简单、快捷识别肾上腺静脉,减少对比剂用量,降低辐射剂量,缩短手术时间,对保证手术效果和安全具有重要意义。

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(收稿日期:2025-02-10)
(本文编辑:茹 实)

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备注/Memo

备注/Memo:
通信作者: 魏伟平 E-mail:410233661@qq.com
更新日期/Last Update: 2026-04-25