彩色多普勒超声对肠系膜缺血症的诊断价值
|
摘要
目的探讨彩色多普勒超声检查在肠系膜缺血症的诊断中的应用价值。方法回顾性分析该院2010年6月—2015年6月通过彩色多普勒超声检查考虑肠系膜缺血的患者20例临床资料,作为观察组,同期选择腹痛症状患者80例为对照组,分析肠系膜动脉彩色多普勒及频谱多普勒表现。结果肠系膜缺血症患者病变狭窄处血流速度以及肠系膜血管起始段狭窄率明显高于对照组,差异有统计学意义(P<0.05),分析病因主要为两条以上肠系膜血管动脉粥样硬化。结论彩色多普勒超声检查可准确对肠系膜缺血症患者病变血管狭窄做出诊断,有重要的临床应用价值。
Objective To explore the application value of the color doppler ultrasound for mesenteric ischemia diagnosis in the clinical.Methods Retrospective analysis the clinical data of 20 patients with mesenteric ischemia as observation group,who were though color doppler ultrasound diagnosis from 2010.06-2015.06.In the same period,80 patients with abdominal pain symptoms were selected as the control group,analyzing mesenteric artery color doppler and spectral doppler.Results Blood flow velocity in the lesions narrow place of mesenteric ischemia patients and stenosis rate in the initial period of mesenteric vessels were significantly higher than the control group.The difference is statistically significant(P<0.05),more than two mesenteric vascular sclerosis of arterial congee appearance was mainly cause.Conclusion Color doppler ultrasound could accurately make a diagnosis for lesion blood vessel stenosis of patients with mesenteric ischemia diagnosis,which has important clinical value.
Objective To explore the application value of the color doppler ultrasound for mesenteric ischemia diagnosis in the clinical.Methods Retrospective analysis the clinical data of 20 patients with mesenteric ischemia as observation group,who were though color doppler ultrasound diagnosis from 2010.06-2015.06.In the same period,80 patients with abdominal pain symptoms were selected as the control group,analyzing mesenteric artery color doppler and spectral doppler.Results Blood flow velocity in the lesions narrow place of mesenteric ischemia patients and stenosis rate in the initial period of mesenteric vessels were significantly higher than the control group.The difference is statistically significant(P<0.05),more than two mesenteric vascular sclerosis of arterial congee appearance was mainly cause.Conclusion Color doppler ultrasound could accurately make a diagnosis for lesion blood vessel stenosis of patients with mesenteric ischemia diagnosis,which has important clinical value.
引文
[1]李雪梅,胡胜军,武静芳,等.彩色多普勒超声在老年人肠系膜上动脉病变的应用[J].中国康复理论与实践,2010,16(7):672-673.
[2]许敬华,雷建明,邹凯华,等.彩色多普勒超声诊断肠系膜下动脉狭窄的价值[J].中华消化杂志,2013,33(1):739.
[3]王东飞,李世宽,傅积薪,等.急性肠系膜缺血性疾病的CT影像特征及诊断价值[J].现代生物医学进展,2014(11):2129-2132.
[4]Mothes H,Koeppen J,Bayer O,et al.Acute mesenteric ischemia following cardiovascular surgery-A nested case-control study[J].Int J Surg,2016,26:79-85.
[5]韩辉.急性肠系膜缺血的影像学和血清学诊断进展[J].武警医学,2014,25(3):312-315.
[6]陈海淼,马晓丹,马履翔.彩色多普勒超声诊断急性肠系膜上静脉血栓形成临床意义[J].中国实用医药,2014(26):129-130.
[7]Wei CW,Wang YC,Hung DZ,et al.Increased Risk of Mesenteric Ischemia in Patients With Alcohol Use Disorder:A Population-Based Retrospective Cohort Study[J].Mayo Clin Proc,2016,91(2):189-195.
[8]Liu K,Ding W,Wu X,et al.Research progress of serum markers in the early diagnosis of acute mesenteric ischemia[J].Zhonghua Wei Chang Wai Ke Za Zhi,2015,25;18(10):1068-1070.
[9]Ebbing C,Rasmussen S,Godfrey KM,et al.F etal superior mesenteric artery:longitudinal reference ranges and evidence of regulatory link toportal liver circulation[J].Early Hum Dev,2009,85(4):207-213.
[10]Moneta GL.Screening for mesenteric vascular insufficiency and follow-up of mesenteric artery bypass procedures[J].Seminars in Vascular Surgery,2001,14(3):186-92.
[2]许敬华,雷建明,邹凯华,等.彩色多普勒超声诊断肠系膜下动脉狭窄的价值[J].中华消化杂志,2013,33(1):739.
[3]王东飞,李世宽,傅积薪,等.急性肠系膜缺血性疾病的CT影像特征及诊断价值[J].现代生物医学进展,2014(11):2129-2132.
[4]Mothes H,Koeppen J,Bayer O,et al.Acute mesenteric ischemia following cardiovascular surgery-A nested case-control study[J].Int J Surg,2016,26:79-85.
[5]韩辉.急性肠系膜缺血的影像学和血清学诊断进展[J].武警医学,2014,25(3):312-315.
[6]陈海淼,马晓丹,马履翔.彩色多普勒超声诊断急性肠系膜上静脉血栓形成临床意义[J].中国实用医药,2014(26):129-130.
[7]Wei CW,Wang YC,Hung DZ,et al.Increased Risk of Mesenteric Ischemia in Patients With Alcohol Use Disorder:A Population-Based Retrospective Cohort Study[J].Mayo Clin Proc,2016,91(2):189-195.
[8]Liu K,Ding W,Wu X,et al.Research progress of serum markers in the early diagnosis of acute mesenteric ischemia[J].Zhonghua Wei Chang Wai Ke Za Zhi,2015,25;18(10):1068-1070.
[9]Ebbing C,Rasmussen S,Godfrey KM,et al.F etal superior mesenteric artery:longitudinal reference ranges and evidence of regulatory link toportal liver circulation[J].Early Hum Dev,2009,85(4):207-213.
[10]Moneta GL.Screening for mesenteric vascular insufficiency and follow-up of mesenteric artery bypass procedures[J].Seminars in Vascular Surgery,2001,14(3):186-92.