中华普通外科杂志
中華普通外科雜誌
중화보통외과잡지
CHINESE JOURNAL OF GENERAL SURGERY
2009年
1期
12-15
,共4页
周晗%吴庆华%陈忠%罗小云%张煜亚%杨培
週晗%吳慶華%陳忠%囉小雲%張煜亞%楊培
주함%오경화%진충%라소운%장욱아%양배
动脉硬化,闭塞性%超声检查,多普勒%人工血管%血管外科手术%节段性压力
動脈硬化,閉塞性%超聲檢查,多普勒%人工血管%血管外科手術%節段性壓力
동맥경화,폐새성%초성검사,다보륵%인공혈관%혈관외과수술%절단성압력
Arteriosclerosis obliteraas%Ultrasonography,Doppler%Blood vessel prosthesis%Vascular surgical procedures%Segmantal blood pressure
目的 探讨多普勒血流检查中节段性压力比值对评估下肢动脉硬化闭塞症患者远端动脉流出道的应用价值,以对人工血管旁路术适应证的选择提供参考.方法 回顾性分析北京安贞医院血管外科1998--2005年收治的166例下肢动脉硬化闭塞症行人工血管旁路术患者的资料,分析流出道节段性压力比值差值等与人工血管通畅率相关的因素,比较人工血管通畅组与阻塞组术前流出道节段性压力比值差值的差异.结果 流出道的节段性压力比值差值是影响人工血管术后通畅率危险程度最高的相关因素之一.人工血管通畅组与阻塞组流出道节段性压力比值差值分别为0.12±0.09和0.24±0.14,两组间比较,差异有统计学意义(P=0.001).人工血管通畅组流出道的节段性压力比值差值的95%可信区间为(0,0.27).结论 多普勒血流检查是一种量化的检查方法,节段性压力比值差值的区间范围可以作为临床上评价流出道及预测手术通畅率的参考.
目的 探討多普勒血流檢查中節段性壓力比值對評估下肢動脈硬化閉塞癥患者遠耑動脈流齣道的應用價值,以對人工血管徬路術適應證的選擇提供參攷.方法 迴顧性分析北京安貞醫院血管外科1998--2005年收治的166例下肢動脈硬化閉塞癥行人工血管徬路術患者的資料,分析流齣道節段性壓力比值差值等與人工血管通暢率相關的因素,比較人工血管通暢組與阻塞組術前流齣道節段性壓力比值差值的差異.結果 流齣道的節段性壓力比值差值是影響人工血管術後通暢率危險程度最高的相關因素之一.人工血管通暢組與阻塞組流齣道節段性壓力比值差值分彆為0.12±0.09和0.24±0.14,兩組間比較,差異有統計學意義(P=0.001).人工血管通暢組流齣道的節段性壓力比值差值的95%可信區間為(0,0.27).結論 多普勒血流檢查是一種量化的檢查方法,節段性壓力比值差值的區間範圍可以作為臨床上評價流齣道及預測手術通暢率的參攷.
목적 탐토다보륵혈류검사중절단성압력비치대평고하지동맥경화폐새증환자원단동맥류출도적응용개치,이대인공혈관방로술괄응증적선택제공삼고.방법 회고성분석북경안정의원혈관외과1998--2005년수치적166례하지동맥경화폐새증행인공혈관방로술환자적자료,분석류출도절단성압력비치차치등여인공혈관통창솔상관적인소,비교인공혈관통창조여조새조술전류출도절단성압력비치차치적차이.결과 류출도적절단성압력비치차치시영향인공혈관술후통창솔위험정도최고적상관인소지일.인공혈관통창조여조새조류출도절단성압력비치차치분별위0.12±0.09화0.24±0.14,량조간비교,차이유통계학의의(P=0.001).인공혈관통창조류출도적절단성압력비치차치적95%가신구간위(0,0.27).결론 다보륵혈류검사시일충양화적검사방법,절단성압력비치차치적구간범위가이작위림상상평개류출도급예측수술통창솔적삼고.
Objective To explore segmantal blood pressure ratio in Doppler ultrasound in the evaluation of distal outlets in lower extremity atherosclerosis ocllusion patients undergoing blood vessel prosthesis and provide references to surgical indications. Methods A review research was made on 166 lower extremity atherosclerosis ocllusion patients receiving blood vessel prosthesis therapy in Anzhen hospital in 1998--2005. We analyzed related factors including segmantal blood pressure ratio to potency rate, evaluated the difference of segmantal blood pressure ratio between groups in which the blood vessel prosthesis was patent and that it was not. Results The difference of segmantal blood pressure ratio of outlet is one of the highest risk among risk factors. The Mean ± SDs of segmantal blood pressure ratio of outlet in patent and obstructed groups were 0. 12±0. 09 and 0. 24±0. 14 respectively. The difference of segmantal blood pressure ratio of outlet has a significant difference between the two groups ( P = 0. 001 ). The corresponding 95% confidence interval of patent group is (0,0. 27). Conclusion Doppler ultrasound is a quantitative testing method. The confidence interval of the difference of segmantal blood pressure ratio could be used as the primary reference standard for the assessment of the outlet and to expect the potency rate before the vascular surgical procedures.
