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溃疡性结肠炎患者肠系膜动脉血流动力学参数的变化及其意义(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2003年第5期
页码:
452-453,456
栏目:
影像学
出版日期:
2003-09-01

文章信息/Info

Title:
A color Doppler study on the hemodoynamic changes and the significance in the inferior and superior mesenteric arteries in ulcerative colitis
作者:
陈定章1; 周晓东1; 朱肖星2; 李彩玲3; 郭悦1
第四军医大学:1.西京医院超声科,2.基础部药理学教研室,3.西京医院消化科,陕西 西安 710032
Author(s):
CHEN Ding-zhang1;  ZHOU Xiao-dong1;  ZHU Xiao-xing2;  LI Cai-ling3;  GUO Yue1
1.Department of Ultrasound, Xijing Hospital, 2.Department of Pharmacology, Foculty of Preclinical Medicine, 3.Department of Gastroenterology, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi 710032, China
关键词:
多普勒超声; 肠系膜下动脉; 肠系膜上动脉; 溃疡性结肠炎
Keywords:
Doppler ultrasound;  inferior mesentricartery;  superior mesentericartery;  ulcerative colitis
分类号:
R574.62
DOI:
-
文献标识码:
A
摘要:
目的:观察活动期溃疡性结肠炎(UC)的肠系膜上动脉(SMA)和肠系膜下动脉(IMA)血流动力学参数的变化。方法:应用彩色多普勒超声分别测定27例活动期UC患者和32例正常人的SMA和IMA血流动力学参数。结果:活动期UC患者IMA血流动力学各参数与正常人比较存在显著差异(P<0.05),SMA血流动力学参数无显著差异(P>0.05)。活动期UC患者IMA血管内径、血流速度和血流量高于正常人,而搏动指数显著降低,阻力指数变化不显著。结论:活动期UC患者IMA血流动力学参数较正常人有显著变化。
Abstract:
AIM: To observe the hemodynamic changes in the inferior and superior mesenteric arteries (IMA,SMA) of patients with active ulcerative colitis (UC). METHODS: 27 patients with active UC and 32 normal subjects underwent Doppler sonography of the IMA and SMA and the hemodynamic parameters were obtained. RESULTS: Significant difference of Doppler parameters of IMA was found between the patients with active UC and the normal subjects (P<0.05).The hemodynamic parameters in the SMA were not significantly different between the patients with active UC and thenormal subjects (P>0.05). The vasalin side diameter, velocity, blood flow volume of the IMA of the patients with active UC were found greater than those of the normal subjects, while the pulsatileindex (PI) decreased significantly and the resistance index (RI) had nosignificant change. CONCLUSION: Duplex Doppler sonography of the IMA and SMA hemodynamic parameters might be used to diagnose inflammatory bowel diseases (IBD),to determine the phase of the disease and to document the response to therapy.

参考文献/References

[1] Ayse E, Turhan C, Tulay O. Superior mesentericartery blood flow inpatients with small bowe1 disease: Evaluation with duplex Doppler sonography [J] , J Clin Ultrasound, 1988, 26(1):37-41.

[2] Mirk P, Palazzoni G, Cotroneo R, et al. Sonographyand Doppler assessment of the inferior mesentericartery: normal morphologic and hemodynamic features [J] , Abdom Imaging, 1998, 23(3):364-369.

[3] Mirk P, Palazzoni G, Giamondo P. Doppler sonography of hemodynamic changes of the inferiormes enteric artery in inflammatory bowel disease preliminary data [J] . Am J Roentgenol, 1999, 173(2):381-387.

[4] 余哲. 解剖学 [M] . 北京:人民卫生出版社, 第二版. 1988:189.

[5] Ahmet S, Tamer B, Ramazan K, et al. Doppler sonography of the inferior and superiormes enteri carteries in ulcerative colitis [J] . J Clin Ultrasound, 2001, 29(3):130-139.

[6] Qamar MI, Read AE. Effects of exercise on mesenteric blood flowin man [J] . Gut, 1987, 28(3):583.

[7] 陈定章, 周晓东, 朱永胜, 等.正常成年人用餐前、后肠系膜下动脉血流动力学多普勒超声的研究 [J] .中国超声医学杂志, 2002, 18(8):612-614.

备注/Memo

备注/Memo:
收稿日期：2002-12-28.
更新日期/Last Update: 2003-09-01