不同肾脏深度计算公式的适用性研究

    Applicability of formulas for calculating differential renal depth

    • 摘要: 目的 评价不同肾脏深度计算公式对中国人的适用性,为肾脏深度计算公式的选择提供参考。方法 回顾性分析2018年5月至2018年12月在宁夏医科大学总医院核医学科进行肾动态显像测定肾小球滤过率234例患者的临床资料。以同机计算机体层成像(computed tomography,CT)显像仪测量的肾脏深度为标准,比较六种肾脏深度计算公式(李氏方程、李乾公式、Inoue公式、Taylor、Xue JJ公式及Tonnesen公式)与CT测量值之间的相关性、平均差异以及不同公式的1 cm误差率。结果 6种计算公式的估算值与CT测量值之间均存在较强的相关性,其中李氏方程与CT测量值的相关系数优于其他5种公式(相关系数为左肾r=0.737、右肾r=0.750)。李氏方程所得肾脏深度与CT测量值最为接近,差异无统计学意义(左肾平均偏差0.03 cm,右肾平均偏差-0.08 cm,均P>0.05)。Tonnesen公式的1 cm误差率最大,分别为左肾54.70%、右肾57.69%,其他5种公式的1 cm误差率行χ2检验,并未显示差异有统计学意义(P>0.05)。结论 李氏方程计算的左、右肾脏深度与CT测量值差异无统计学意义,偏差范围较小,优于其他5种公式,值得在临床推广使用。

       

      Abstract: Objective To evaluate the applicability of differential renal depth calculation formulas for Chinese people and provide references for selecting renal depth calculation formulas.Methods The SPECT/CT data were analyzed retrospectively for 234 patients with glomerular filtration rate measured by renal dynamic imaging from May to December 2018.CT depth was measured as the standard,correlation,average difference and 1 cm error rate between six renal depth calculation formulas and CT measurements were compared.Results Strong correlations existed between estimated values of six formulas and measured values of CT.Data analysis showed that the correlation coefficient between Lee's equation and CT measured values was better than that of the other five formulas,r=0.737 for left kidney and 0.750 for right kidney.The renal depth obtained by Lee's equation was closest to that measured by CT and the difference was not statistically significant(left kidney mean deviation 0.03 cm,right kidney mean deviation 0.08 cm).The 1 cm error rate of Tonnesen formula was the largest.And it was 54.70% for left kidney and 57.69% for right kidney.The 1cm error rates of the other five formulas were tested by X2 test and there was no statistical difference(P>0.05).Conclusions No significant difference exists between left and right kidney depth calculated by Lee's equation and the measured value of CT.Its deviation range is small and it is better than the other five formulas.A wider clinical popularization is worthwhile.

       

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