摘要
目的:探究彩色多普勒超声在微创经皮肾镜取石术(MPCNL)治疗孤立肾肾结石的肾脏血流动力学改变评价中的应用价值。方法:选取2014年6月-2017年3月孤立肾肾结石患者30例,均接受微创经皮肾镜取石术治疗,采用彩色多普勒超声对孤立肾肾结石患者经治疗后的肾脏血流动力学改变情况进行观察分析。结果:孤立肾肾结石患者经MPCNL治疗后,其肾主动脉PSV、EDV水平与术前相比,差异无统计学意义(P>0.05),RI水平明显低于术前(P<0.05);肾段动脉PSV、EDV水平与术前相比,明显上升(P<0.05),RI水平与术前RI水平相比,差异无统计学意义(P>0.05);肾叶间动脉PSV、EDV、RI水平与术前相比,均明显上升(P<0.05)。结论:孤立肾肾结石患者接受微创经皮肾镜取石术治疗,对患者的肾脏损伤较少,且可以对患者的肾脏血流灌注情况进行改善,采用彩色多普勒超声则可以较好对孤立肾肾结石患者治疗前后的肾脏血流动力学改变情况进行评价。
Objective： To investigate the value of color Doppler ultrasound in the evaluation of renal hemodynamic changes in minimally invasive pereutaneous nephrolithotomy.Method： 30 cases of solitary kidney calculi patients underwent minimally invasive percutaneous nephrolithotomy treatment were selected from March 2014 to March 2015, they were given color Doppler ultrasound in solitary kidney calculi, patients with renal hemodynamic changes after treatment were observed and analyzed.Result： Solitary kidney calculi were treated by MPCNL after treatment, compared the renal aortic PSV and EDV levels before and after treatment, the differences were not significant （ P〉0.05 ）, RI levels were significantly lower than the preoperative （ P〈0.05 ） ; compared with the levels of renal segmental artery EDV and PSV, increased significantly than before operation （ P〈0.05 ）, the level of preoperative RI had little difference （ P〉0.05 ） ; renal interlobar artery PSV, EDV and RI levels compared with the preoperative were significantly increased （P〈0.05） .Conclusion： Solitary kidney calculi underwent minimally invasive pereutaneous nephrolithotomy in treatment of renal injury, fewer patients, and can be used to improve the renal perfusion of patients, using color Doppler ultrasound can better renal hemodynamics before and after the treatment of solitary kidney calculi in patients with the change of the evaluation.
出处
《中国医学创新》
CAS
2017年第25期105-108,共4页
Medical Innovation of China
基金
广州市黄埔区科技计划项目(201444-16)
关键词
彩色多普勒超声
微创经皮肾镜取石术
孤立性肾结石
血流动力学
Color Doppler ultrasound
Minimally invasive percutaneous nephrolithotomy
Solitary kidney stones
Hemodynamics
