实用肝脏病杂志 ›› 2010, Vol. 13 ›› Issue (4): 280-281.doi: 10.3969/j.issn.1672-5069.2010.04.014

• 论著 • 上一篇    下一篇

彩色多普勒超声检查肝硬化患者肾动脉血流参数的价值

汤红,唐德萍,张超,朱红霞   

  1. 230022 合肥市第六人民医院功能科(汤红,唐德平,张超);
    肝病科(朱红霞)
  • 收稿日期:2010-02-08 出版日期:2010-08-10 发布日期:2016-04-18
  • 作者简介:汤红 女,50岁,副主任医师。主要从事超声的临床诊断工作。E-mail:229697653@qq.com

The value of color Doppler in the detection of renal artery blood flow parameters in patients with cirrhosis

TANG Hong,TANG Deping,ZHANG Chao,et al.   

  1. The Sixth Hospital,Hefei 230022
  • Received:2010-02-08 Online:2010-08-10 Published:2016-04-18

摘要: 目的 探讨肝硬化患者各级肾动脉血流动力学变化。方法 使用彩色多普勒超声检测46例代偿期和56例失代偿期肝硬化患者肾动脉(MRA)、段动脉(SRA)和叶间动脉(IRA)的RI、PI、Vmax和Vmix。结果 代偿期肝硬化患者各级肾动脉RI、PI、Vmax、Vmix与正常组比无明显的差异(P>0.05),而失代偿期患者与正常组比有显著性差异(P<0.01);失代偿期肝硬化各级肾动脉血流速度减低,而PI、RI增高,肾动脉RI由MRA至IRA依次降低的规律消失。结论 检测肝硬化患者肾动脉血流参数的变化,对了解肾脏病情的进展有帮助。

关键词: 肝硬化, 肾动脉, 血流参数, 多普勒超声

Abstract: Objective To explore the characteristics of renal artery blood flow parameters at all levels in patients with cirrhosis. Methods Renal artery blood flow parameters at all levels were detected by the use of color Doppler ultrasound in 46 patients with compensated,56 with decompensated liver cirrhosis and in control. The renal artery (MRA),segmental arteries(SRA),interlobar artery(IRA)were selected to detect. Results Compared with control group,Ri,PI,Vmax and Vmix in compensated cirrhosis were not significantly different(P>0.05), but the same indexes in decompensated cirrhosis group changed with obvious difference(P<0.01). Blood flow velocitis of renal artery in different levels of patients with decompensated cirrhosis decreased. Conclusions The detection of renal artery blood flow parameters would provide a valuable basis in understanding the kidney disease progression.

Key words: Cirrhosis, Renal artery, Blood flow parameters, Doppler