中华医学超声杂志（电子版）
中華醫學超聲雜誌（電子版）
중화의학초성잡지（전자판）
CHINESE JOURNAL OF MEDICAL ULTRASOUND(ELECTRONICAL VISION)
2012年
6期
511-515
,共5页
王宁%钱林学%贾立群%王晓曼%熊晓苓
王寧%錢林學%賈立群%王曉曼%熊曉苓
왕저%전림학%가립군%왕효만%웅효령
超声检查,多普勒,彩色%紫癜,过敏性%肠系膜上动脉
超聲檢查,多普勒,綵色%紫癜,過敏性%腸繫膜上動脈
초성검사,다보륵,채색%자전,과민성%장계막상동맥
Ultrasonography,Doppler,color%Purpura,schoenlein-henoch%Mesenteric artery,superior
目的观察腹型紫癜患儿病程中肠系膜上动脉彩色多普勒血流参数变化有无规律.方法 测量10例腹型紫癜患儿急性期、恢复期肠系膜上动脉彩色多普勒血流参数,包括收缩期峰值流速、舒张末期流速、阻力指数,并与17名体检健康儿童比较.结果 腹型紫癜组患儿急性期肠系膜上动脉收缩期峰值流速为(41.57±8.02)cm/s,恢复期为(33.38±7.44)cm/s,健康对照组儿童为(35.34±9.73)cm/s,三者之间的差异无统计学意义(F=2.471,P=0.10);腹型紫癜组患儿急性期肠系膜上动脉舒张末期流速为(7.63±4.28)cm/s,高于恢复期的肠系膜上动脉舒张末期流速(4.23±2.57)cm/s和健康对照组儿童的肠系膜上动脉舒张末期流速(3.77±0.87)cm/s,且差异均有统计学意义(t=0.066,P=0.025;t=0.059,P=0.003);腹型紫癜组的患儿急性期肠系膜上动脉阻力指数为(0.85±0.17),低于恢复期的肠系膜上动脉阻力指数(1.00±0.15)和健康对照组儿童的肠系膜上动脉阻力指数(1.04±0.13),差异也均有统计学意义(t=1.391,P=0.020;t=1.239,P=0.026).结论在腹型紫癜患儿病程中,肠系膜上动脉彩色多普勒血流参数变化有规律,可用于评估腹型紫癜病情变化.
目的觀察腹型紫癜患兒病程中腸繫膜上動脈綵色多普勒血流參數變化有無規律.方法 測量10例腹型紫癜患兒急性期、恢複期腸繫膜上動脈綵色多普勒血流參數,包括收縮期峰值流速、舒張末期流速、阻力指數,併與17名體檢健康兒童比較.結果 腹型紫癜組患兒急性期腸繫膜上動脈收縮期峰值流速為(41.57±8.02)cm/s,恢複期為(33.38±7.44)cm/s,健康對照組兒童為(35.34±9.73)cm/s,三者之間的差異無統計學意義(F=2.471,P=0.10);腹型紫癜組患兒急性期腸繫膜上動脈舒張末期流速為(7.63±4.28)cm/s,高于恢複期的腸繫膜上動脈舒張末期流速(4.23±2.57)cm/s和健康對照組兒童的腸繫膜上動脈舒張末期流速(3.77±0.87)cm/s,且差異均有統計學意義(t=0.066,P=0.025;t=0.059,P=0.003);腹型紫癜組的患兒急性期腸繫膜上動脈阻力指數為(0.85±0.17),低于恢複期的腸繫膜上動脈阻力指數(1.00±0.15)和健康對照組兒童的腸繫膜上動脈阻力指數(1.04±0.13),差異也均有統計學意義(t=1.391,P=0.020;t=1.239,P=0.026).結論在腹型紫癜患兒病程中,腸繫膜上動脈綵色多普勒血流參數變化有規律,可用于評估腹型紫癜病情變化.
목적관찰복형자전환인병정중장계막상동맥채색다보륵혈류삼수변화유무규률.방법 측량10례복형자전환인급성기、회복기장계막상동맥채색다보륵혈류삼수,포괄수축기봉치류속、서장말기류속、조력지수,병여17명체검건강인동비교.결과 복형자전조환인급성기장계막상동맥수축기봉치류속위(41.57±8.02)cm/s,회복기위(33.38±7.44)cm/s,건강대조조인동위(35.34±9.73)cm/s,삼자지간적차이무통계학의의(F=2.471,P=0.10);복형자전조환인급성기장계막상동맥서장말기류속위(7.63±4.28)cm/s,고우회복기적장계막상동맥서장말기류속(4.23±2.57)cm/s화건강대조조인동적장계막상동맥서장말기류속(3.77±0.87)cm/s,차차이균유통계학의의(t=0.066,P=0.025;t=0.059,P=0.003);복형자전조적환인급성기장계막상동맥조력지수위(0.85±0.17),저우회복기적장계막상동맥조력지수(1.00±0.15)화건강대조조인동적장계막상동맥조력지수(1.04±0.13),차이야균유통계학의의(t=1.391,P=0.020;t=1.239,P=0.026).결론재복형자전환인병정중,장계막상동맥채색다보륵혈류삼수변화유규률,가용우평고복형자전병정변화.
Objective To study the changes of flow parameters of superior mesenteric artery (SMA) in children with abdominal type Henoch-Schonlein purpura (HSP) using color Doppler ultrasound.Methods Ten children with abdominal type HSP and 17 controls were included in present study.The blood flow parameters of SMA[including peak velocity(PV),end-diastole velocity(EDV),resistant index(RI)]were measured at acute and recovery stage separately.Statistical analysis was conducted among groups.Results PV were (41.57±8.02)cm/s,(33.38±7.44)cm/s and (35.34±9.73)cm/s in acute stage,recovery stage and control group,respectively.There was no statistically significant difference among groups(F=2.471,P=0.10).EDV were(7.63±4.28)cm/s,(4.23±2.57)cm/s and (3.77±0.87) cm/s in acute stage,recovery stage and control group,respectively.There was significantly significant differences between acute stage group and other two groups(t=0.066,P=0.025;t=0.059,P=0.003).RI were (0.85±0.17),(1.00±0.15) and (1.04±0.13) in acute stage,recovery stage and control group,respectively.Also there was significantly significant differences between acute stage group and other two groups(t=1.391,P=0.020;t=1.239,P=0.026).Conclusion For abdominal type HSP in children,the changes of PV,EDV and RI of SMA were significant,which may help us determine the stage of disease.
