声触诊组织定量技术测量妊娠期高血压患者肾脏弹性的临床价值

发布时间：2018-07-17 20:12

【摘要】：目的探讨妊娠期高血压疾病患者的肾脏与正常妊娠孕妇的肾脏皮质、髓质及肾窦的剪切波速度(SWV)之间的差异。方法以90例妊娠期高血压疾病患者为研究对象,并取得部分于产后6周~3个月内做肾脏穿刺活检确定肾脏病理类型。依据妊娠期高血压疾病患者的分类标准,将妊娠期高血压患者为A组;轻度子痫前期患者为B组;重度子痫前期患者为C组;正常妊娠妇女为对照组。使用声触诊组织定量技术测量受检者的肾脏剪切波速度,检测其血压、尿蛋白和肾功能,并进行统计分析。结果 A组和对照组两者肾功能指标无显著差异(P0.05);A、B、C组间的肾功能P值和B、C组间与对照组间的肾功能P值均0.05。A、B、C组和对照组的皮质、髓质及肾窦的Vs值均有差异,P值均0.05。结论妊娠期高血压疾病患者的肾脏的皮质、髓质及肾窦的SWV较正常妊娠孕妇的小,且肾脏损伤程度越严重,同一肾脏部位其SWV越小。
[Abstract]:Objective to investigate the difference of shear wave velocity (SWV) in renal cortex, medulla and renal sinuses between normal pregnant women and patients with hypertensive disorder complicating pregnancy. Methods Ninety patients with hypertensive disorder complicating pregnancy were selected and renal biopsy was performed in 6 ~ 3 months postpartum to determine the pathological type of kidney. According to the classification standard of hypertensive disorder complicating pregnancy, group A, group B, group C, group A, group B, group B, The renal shear wave velocity, blood pressure, urine protein and renal function were measured by acoustic palpation tissue quantitative technique. Results there was no significant difference in renal function indexes between group A and control group (P0.05) P value of renal function between group A and control group and between group A and control group were 0.05.The Vs values of medulla and renal sinuses were all 0.05in group A and control group. Conclusion SWV of kidney in hypertensive disorder complicating pregnancy is smaller than that in normal pregnant women, and the more serious the damage of kidney, the smaller the SWV of the same kidney.
【作者单位】：河北医科大学第二医院超声科;
【基金】：河北省人口和计划生育委员会2013年科技研究计划项目指令课题(No.2013-A03)
【分类号】：R714.246;R445.1

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