慢性肾功能不全患者肾脏结构及血流动力学彩超检测分析.docVIP

慢性肾功能不全患者肾脏结构及血流动力学彩超检测分析 　　 　　 　　[摘要] 目的 探讨彩色多普勒超声在慢性肾功能不全患者肾脏结构及血流动力学检测中的应用价值。 方法 选择本院45例慢性肾功能不全患者为研究组，同期体检正常者45例为对照组，采用彩色多普勒超声诊断仪，观察肾脏形态，测量肾脏皮质厚度、实质厚度，并测量肾动脉收缩期最高流速（PSV）、舒张期最低流速（EDV）、平均血流速度（Vm）、阻力指数（RI）、搏动指数（PI）等。 结果 两组肾动脉血流动力学比较显示，研究组PSV、EDV、Vm明显低于对照组，RI、PI明显高于对照组，两组差异有统计学意义（P0.05）。 结论 彩色多普勒超声检测慢性肾功能不全，可有效显示血流动力学改变及肾脏形态结构改变的情况，对判定肾功能、临床治疗有重要指导意义。 　　[关键词] 慢性肾功能不全；肾脏结构；血流动力学；彩色多普勒超声 　　[中图分类号] R692[文献标识码] A[文章编号] 1674-4721（2014）05（c）-0034-03 　　 　　The value of color Doppler ultrasound in detection of kidney structure and hemodynamicss in patients with chronic renal insufficiency 　　CHEN Feng-xia1 ZHANG Zhen2 　　1.Department of Electric Diagnosis,the First People′s Hospital of Shenyang City,Shenyang 110041,China;2.Stem Department,the First People′s Hospital of Shenyang City,Shenyang 110041,China 　　[Abstract] Objective To investigate the value of color Doppler ultrasound in kidney structure and hemodynamics detection of patients with Chronic renal insufficiency. Methods 45 cases of patients with chronic renal insufficiency in our hospital were selected as study group,and 45 cases of normal people during the same period were selected as the control group,the color Doppler ultrasound were used to observe renal morphology,the renal cortical thickness,parenchymal thickness,and measure renal artery systolic velocity (PSV),the lowest diastolic velocity (EDV),mean blood flow velocity (Vm),resistance index (RI),pulsatility index (PI) were detected. Results The renal artery hemodynamics comparison of two groups showed that,the PSV,EDV,Vm in study group were significantly lower than the control group,the RI,PI was significantly higher than that in control group,the difference was statistically significant (P0.05). Conclusion Color Doppler detection in chronic renal failure patients can effectively display hemodynamic changes and renal morphology changes,and has important directive significance in renal function judge and clinical treatment . 　　[Key words] Chronic rena