彩色多普勒超声评估雷诺现象患者掌指动脉血流参数变化
发布时间：2018-07-28 12:37
【摘要】：目的探讨彩色多普勒超声评估雷诺现象患者掌浅弓动脉、指掌侧固有动脉病变的应用价值。方法采用彩色多普勒超声对病例组42例雷诺现象患者的左侧掌浅弓动脉、左侧中指指掌侧固有动脉进行检查,记录血管走行、血流充盈情况及血流动力学参数:收缩期峰值血流速度(PSV)、舒张末期血流速度(EDV)、阻力指数(RI)、搏动指数(PI)。对照组为35名接受体检的正常健康成人,分别测量上述各参数,比较病例组和对照组各参数的差异。结果病例组患者左侧掌浅弓动血流充盈尚可,彩色血流显示率为100%(42/42),左侧中指指掌侧固有动脉血流充盈差,血管变细、甚至闭塞,血管彩色血流示率为92.86%(39/42)。与对照组相比,病例组患者左侧中指指掌侧固有动脉PSV、EDV和左侧掌浅弓动脉EDV减低,RI、PI均增高,比较差异均有统计学意义(P均0.05);病例组左侧掌浅弓动脉PSV较对照组减低,差异无统计学意义(P0.05)。结论彩色多普勒超声能够评估雷诺现象患者指掌侧固有动脉、掌浅弓动脉血流动力学改变,可为雷诺现象的诊断、治疗提供有效依据。
[Abstract]:Objective to evaluate the value of color Doppler ultrasound in evaluating the lesions of superficial palmar arch artery and digital palmar artery in patients with Renault phenomenon. Methods the left superficial palmar arch artery was examined by color Doppler ultrasound in 42 patients with Renault's phenomenon, and the palmar artery of the left middle finger was recorded. Filling and hemodynamic parameters: peak systolic velocity (PSV), end-diastolic velocity (EDV), resistance index (RI), pulsatile index (PI). The above parameters were measured in 35 healthy adults in the control group and the difference between the case group and the control group was compared. Results in the case group, the left superficial palmar arch was well filled, and the color blood flow was 100% (42 / 42). The blood flow of the palmar proper artery of the left middle finger became thin or even occluded. The color blood flow rate of the left middle finger was 92.86% (39 / 42). Compared with the control group, the EDV of the left medial digital palmar artery and the left superficial palmar arch increased significantly in the case group, and the PSV of the left superficial palmar arch was lower in the case group than that in the control group. The difference was not statistically significant (P0.05). Conclusion Color Doppler ultrasound can evaluate the hemodynamic changes of the proper digital palmar artery and superficial palmar arch in patients with Raynaud's phenomenon, which can provide an effective basis for the diagnosis and treatment of Raynaud's phenomenon.
【作者单位】： 南昌大学第一附属医院超声诊断科;南昌大学第一附属医院风湿免疫科;
【分类号】：R445.1;R543
本文编号：2150163
[Abstract]:Objective to evaluate the value of color Doppler ultrasound in evaluating the lesions of superficial palmar arch artery and digital palmar artery in patients with Renault phenomenon. Methods the left superficial palmar arch artery was examined by color Doppler ultrasound in 42 patients with Renault's phenomenon, and the palmar artery of the left middle finger was recorded. Filling and hemodynamic parameters: peak systolic velocity (PSV), end-diastolic velocity (EDV), resistance index (RI), pulsatile index (PI). The above parameters were measured in 35 healthy adults in the control group and the difference between the case group and the control group was compared. Results in the case group, the left superficial palmar arch was well filled, and the color blood flow was 100% (42 / 42). The blood flow of the palmar proper artery of the left middle finger became thin or even occluded. The color blood flow rate of the left middle finger was 92.86% (39 / 42). Compared with the control group, the EDV of the left medial digital palmar artery and the left superficial palmar arch increased significantly in the case group, and the PSV of the left superficial palmar arch was lower in the case group than that in the control group. The difference was not statistically significant (P0.05). Conclusion Color Doppler ultrasound can evaluate the hemodynamic changes of the proper digital palmar artery and superficial palmar arch in patients with Raynaud's phenomenon, which can provide an effective basis for the diagnosis and treatment of Raynaud's phenomenon.
【作者单位】： 南昌大学第一附属医院超声诊断科;南昌大学第一附属医院风湿免疫科;
【分类号】：R445.1;R543
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