Bài viết trình bày mô tả đặc điểm giải phẫu động mạch-tĩnh mạch thận đoạn ngoài thận ở người sống cho thận trên CLVT 128 dãy và vai trò của MSCT trong đánh giá mạch thận đối chiếu với phẫu thuật Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang 228 người sống cho thận, trong đó 180 người được mổ cho thận trong thời gian tháng 1-2018- 6-2020 tại BV Bạch Mai. | VAI TRÒ CỦA CHỤP CẮT LỚP VI TÍNH NGHIÊN CỨU KHOA HỌC 128 DÃY TRONG ĐÁNH GIÁ GIẢI PHẪU SCIENTIFIC RESEARCH ĐỘNG - TĨNH MẠCH ĐOẠN NGOÀI THẬN Ở NGƯỜI CHO SỐNG The role of 128 channel multidetector computed tomography for evaluation vascular anatomy in the assessment of the extracellular in the living donor Hoàng Thị Vân Hoa Nguyễn Xuân Hiền Phan Anh Phương Trần Văn Thảo SUMMARY Objective The purpose of this study was to determinate the accuracy of multidetector computed tomography MDCT angiography for imaging evaluation of renal arterial and venous structures of living donor kidney Materials and Methods Two hundred twenty-eight potential living donor candidates were included to this study who had CTA for the assessment of their renal vessels in our hospital between January 2018 and June 2020 and one hundred-eighty donors who underwent open surgical in this time. The number course and drainage patterns of the renal vessel were retrospectively observed from the scans. Anomalies of renal arteries veins and inferior vena cava IVC were recorded. Multiplanar reformations MPRs maximum intensity projections and volume rendering were used for analysis. The results obtained were correlated surgically. Results A total of 228 potential live kidney donors underwent renal CTA 112 of the patients were male and 116 were female. Mean age of donors was 38 32 12 34 years. among them 180 patients had donor nephrectomy. There were 151 kidneys had single renal artery here were 29 kidneys had at least one accessory or polar artery. There were 45 early branching renal arteries two kidneys were retroaortic left renal veins. 16 kidneys had multiple renal veins. 55 kidneys wewe late venous confluence of renal veins. Sn Sp NPV PPV compare open oparative nephrectomy 87 5 - 100 . Conclusion Renal CTA is an accurate safe and noninvasive diagnostic tool for determination of renal artery and vein abnormalities in living kidney donors preooparative. It helps with surgery planning .
