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目的探讨肾上腺静脉取血术患者右肾上腺静脉开口的分布特点。方法收集2006年1月-2013年10在新疆维吾尔自治区人民医院高血压中心住院、诊断明确的原发性醛固酮增多症(primary aldosteronism,PA)并成功进行了肾上腺静脉取血术(adrenal vein sampling,AVS)患者575例,以脊椎为标志将胸椎(Th)10中缘~腰椎(L)1中缘之间分为6组:A组:Th10中缘~Th11下缘,B组:Th11下缘~Th12上缘,C组:Th12上缘~Th12中缘,D组:Th12中缘~Th12下缘,E组:Th12下缘~L1上缘,F组:L1上缘~L1中缘,以此标记右肾上腺静脉开口并存储结果。应用SIM-ADS V4.2医学影像工作站分析在右肾上腺静脉开口的分布特征。结果 (1)右肾上腺静脉开口定位由多到少依次为C组、A组、B组、D组、E组和F组。(2)右肾上腺静脉开口定位在A、B、C、D组的患者中,男性多于女性(P<0.05),右肾上腺静脉开口定位在E、F组的患者中,女性多于男性(P<0.05);定位在A、B、C、D组的患者身高高于E组患者(P<0.05);定位在A组的患者体质指数高于C、D、E组患者(P<0.05),定位在B、C、D组患者的体质指数高于E组(P<0.05);定位在A组的患者腹围明显大于E、F组患者,定位在B、C、D组的患者腹围明显大于E组患者(P<0.05);其余组间的性别、身高、体质指数及腹围的差异无统计学意义。(3)右肾上腺静脉开口在不同年龄及民族的分布差异无统计学意义。结论综合评价性别、身高、体质指数、腹围因素,有助于右肾上腺静脉开口的定位。
Objective To investigate the distribution characteristics of the right adrenal vein in patients with adrenal vein blood collection. Methods January 2006 to January 2013 10 were hospitalized in the hypertension center of People’s Hospital of Xinjiang Uygur Autonomous Region. The patients were diagnosed as primary aldosteronism (PA) and successfully treated with adrenal vein sampling AVS) patients were divided into 6 groups: A group: Th10 middle margin ~ Th11 lower margin, B group: Th11 lower margin Group C: Th12 upper edge to Th12 middle margin, D group: Th12 middle margin to Th12 lower margin, E group: Th12 lower margin to L1 upper margin, and F group: L1 upper margin to L1 middle margin to This mark the right adrenal vein opening and store the result. Application of SIM-ADS V4.2 medical imaging workstation analysis of the distribution characteristics of the right adrenal vein opening. Results (1) The location of the right adrenal vein opening was divided into C group, A group, B group, D group, E group and F group. (2) There were more males than females (P <0.05) in patients with right adrenal vein opening located in groups A, B, C and D. The right adrenal veins were located in group E and F with more females than males P <0.05). Patients in group A, B, C and D were taller than those in group E (P <0.05). Patients in group A had higher body mass index than those in groups C, D and E ). The body mass index of patients in groups B, C and D were significantly higher than those in group E (P <0.05). The abdominal circumference of patients in group A was significantly greater than those in groups E and F and those in groups B, C and D The abdominal circumference was significantly greater than that in group E (P <0.05). There was no significant difference in gender, height, body mass index and abdominal circumference between the remaining groups. (3) There was no significant difference in the distribution of right adrenal veins at different ages and ethnic groups. Conclusion Comprehensive evaluation of gender, height, body mass index, abdominal circumference factors contribute to the positioning of the right adrenal vein opening.