[1]韦爱华,孙 园,南淑良,等.彩色多普勒超声检查对输尿管软镜碎石术患者肾动脉血流评价研究*[J].陕西医学杂志,2019,(9):1175-1177.
　WEI Aihua,SUN Yuan,NAN Shuliang,et al.Effects of flexible ureteroscope lithotripsy as evaluated 〖JZ〗by color doppler ultrasonography at segmental renal arteries[J].,2019,(9):1175-1177.
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彩色多普勒超声检查对输尿管软镜碎石术患者肾动脉血流评价研究*
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2019年9期
页码:
1175-1177
栏目:
临床研究
出版日期:
2019-09-05

文章信息/Info

Title:
Effects of flexible ureteroscope lithotripsy as evaluated 〖JZ〗by color doppler ultrasonography at segmental renal arteries
文章编号:
DOI:〖HT5K〗10.3969/j.issn.10007377.2019.09.018
作者:
韦爱华1; 孙 园2; 南淑良1; 穆 靓1△; 刘 莉1; 管湘平1; 梁 亮3
1.陕西省人民医院超声诊断中心（西安710068）；2.西安交通大学第一附属医院东院血液透析室（西安 710089）；〖JZ〗3.陕西省人民医院泌尿病院（西安 710068）
Author(s):
WEI Aihua; SUN Yuan; NAN Shuliang; et al.
Ultrasound Diagnosis Center，Shaanxi Provincial People’s Hospital( Xi’an 710068)
关键词:
输尿管软镜碎石术; 彩色多普勒超声; 肾脏血流动力学; 肾结石
Keywords:
Key words 〖WT5BZ〗〖HT5”SS〗Flexible ureteroscope lithotripsy; Color doppler ultrasonography; Renal hemodynamic; Renal calculi
分类号:
R737.31
文献标志码:
A
摘要:
摘 要 〖HT5K〗目的：探讨输尿管软镜碎石手术对肾脏血流动力学的影响。方法：收集输尿管软镜碎石术的单发肾结石患者61例，应用彩色多普勒超声（CDFI）观察记录术后1h内及术后7d术侧肾脏肾内动脉血流参数，并与术前1d结果对照，进行统计学分析。结果：与术前血流参数相比，术后1h内超声检查，术侧肾脏段动脉舒张末期流速（Vmin）测值减低、阻力指数（RI）测值增高（P＜0.017），收缩期峰值流速（Vmax）测值无明显变化（P＞0.017）；术后7d复查，Vmin测值回升、RI测值降落（P＜0.017），Vmax 、Vmin及RI与术前测值相比无统计学差异（P＞0.017）。结论：单发肾结石患者输尿管软镜碎石手术后会出现术侧肾脏短期、可逆性的肾段动脉Vmin减低、RI增高，CDFI可以量化评价输尿管软镜碎石术围手术期肾内血流动力学的改变。
Abstract:
Abstract 〖WT5BZ〗〖HT5”SS〗Objective:To evaluate the effects of flexible ureteroscope lithotripsy by color doppler ultrasonography(CDFI) at segmental renal arteries. Methods：The hemodynamic of operated renal arteries of 61 patients with renal calculi who underwent unilateral flexible ureteroscope lithotripsy were examined separately preoperative and postoperative(1 hour and Day 7) by CDFI. Parameters were analyzed statistically. Results:In 1 hour after operation，a statistically significant in decrease of diastolic flow(Vmin) and increase of resistance index (RI) at segmental renal arteries were found compared with preoperative (P＜0.017). In the followup measurement of 7 days after operation，the differences disappeared(P＞0.017)．Conclusion：CDFI can be used to observe the blood perfusion in kidney after flexible ureteroscope lithotripsy，and quantitaty the information of renal hemodynamics simply and rapidly. Renal Vmin decreased and RI increased can be found at postoperative in shortterm，and the changes were reversible.

参考文献/References:

[1] 〖ZK（#〗Anup K，Pawan V，Biswajit N，et al. A prospective randomized comparison between shock wave lithotripsy and flexible ureterorenoscopy for lower caliceal stones ≤2 cm：a singlecenter experience[J] . J Endourol，2015,29(5):575579. 
[2] Palmero X，Balssa L，Bernardini S，et al. Flexible ureterorenoscopy vs percutaneous nephrolithotomy for renal stone management：Retrospective study[J] . Progres En Urol，2016,9(26):500506.
[3] Ferakis N，Stavropoulos M. Mini percutaneous nephrolithotomy in the treatment of renal and upper ureteral stones：Lessons learned from a review of the literature[J] . Urol Ann，2015，7(2)：141148. 
[4] 刘 森.微创经皮肾镜取石术联合输尿管软镜治疗复杂性肾结石疗效研究[J] . 陕西医学杂志，2018，47（2）：196198．
[5] Ioannis B，Vasilios P，Konstantinos K. Renal resistive index as predictor of acute kidney injury after major surgery：A systematic review and metaanalysis [J] . Journal of Critical Care，2019,50(1):3643.
[6] Happy S，Doaa S，Rania H，et al. Renal ultrasound and doppler parameters as markers of renal function and histopathological damage in children with chronic kidney disease[J] . Nephrology,2018,23(12):11161124.
[7] Omer FB，Abdulkadir T，Brian S，et al. Flexible ureterorenoscopy for the treatment of kidney stone within pelvic ectopic kidney[J] . Urol，2014,84(6):12851289.
[8] Wang J，Zhou DQ，He M，et al. Effects of renal pelvic highpressure perfusion on nephrons in a porcine pyonephrosis model[J] .Expe and Thera,2013,5(5):13891392.
[9] 姚小兵,程 帆,曹智修,等.急性压力灌注对不同程度肾积水模型兔肾脏的损伤[J] .武汉大学学报：医学版,2015,36(1):105109．
[10] 陈松宁,唐 浩,陆彩连,等.输尿管软镜碎石术中监测肾盂压力的临床意义[J] .中国医药科学,2016,9(6):191193．
[11] Deng X，Song L，Xie D，et al.A novel flexible ureteroscopy with intelligent control of renal pelvic pressure：an initial experience of 93 cases[J] .J Endourol,2016,30(10):10671072．
[12] Arkadiusz L，Grzegorz K，Stanistaaw N. Renal resistive index as a marker of vascular damage in cardiovascular diseases[J] .Int Urol Nephrol,2013,46(2):395402.
[13] Samuel JG，Mark EL，Ghaneh F，et al. Optimizing renal transplant doppler ultrasound[J] .Abdominal Radiology,2018,43(10):25642573. 
[14] 江 锋，吴鹏飞.输尿管软镜下钬激光碎石术治疗肾结石的疗效和安全性研究[J] . 陕西医学杂志，2018,47（8）：10001002.

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备注/Memo

备注/Memo:
*国家自然科学青年基金资助项目（81502205） 陕西省重点研发计划项目（2017SF267）
更新日期/Last Update: 2019-09-24