多普勒超声评估在肠系膜上动脉栓塞腔内治疗随访评估中的价值
【摘要】目的：彩色多普勒超声在肠系膜上动脉栓塞诊断中的应用探讨。方法：本次研究选取本院2016年1月-2018年6月收治的肠系膜上动脉栓塞患者，采用彩色多普勒超声检验方式，观察患者在手术后次日、三个月、半年和一年内，患者肠系膜上动脉栓塞的变化性现象，分析是否存在栓塞疾病。详见对应的研究结果分析如下。结果：在术后检验中，SMA内径差异，且患者的肠系膜上动脉通畅性良好，收缩期及舒张期峰值流速在术后6～12个月略有下降，术后12个月恢复至术后水平。手术指标中的峰值流速以及加速时间和阻力指标之间均无差异，(p>0.05)。分析医院的病理检查结果，经过手术后，患者均恢復良好，2例患者在6个月时发生心肌梗死，经治疗后缓慢恢复。结论：综上所述，彩色多普勒超声技术在肠系膜上动脉栓塞检验中有筛查和随访监测作用，能够为评估能肠系膜上动脉栓塞后通畅情况有帮助，对于医学研究降低成本，提升诊断精准度有效，还能帮助患者恢复树立信心，建议推广。
【关键词】肠系膜上动脉栓塞疾病;患者治疗;研究分析
, 百拇医药
[Abstract] Objective：To explore the application of color Doppler ultrasonography in the diagnosis of superior mesenteric artery embolism. Methods：The patients with superior mesenteric artery embolism admitted to our hospital from January 2016 to June 2018 were examined by color Doppler ultrasonography. The variability of superior mesenteric artery embolism was observed the next day， three months， six months and one year after operation， and the existence of embolism disease was analyzed. Detailed analysis of the results of the corresponding research is as follows. Results： In the post-operative examination， SMA had different internal diameters， and the stent was open well. The peak systolic and diastolic flow velocities decreased slightly in 6-12 months after operation， and recovered to the post-operative level 12 months after operation. There was no difference in peak flow velocity， acceleration time and resistance index between the two groups (p > 0.05). The results of pathological examination in the hospital were analyzed. All patients recovered well after operation. Two patients suffered from myocardial infarction at 6 months and recovered slowly after treatment. Conclusion： In summary， color Doppler ultrasonography plays a role in screening and follow-up monitoring of superior mesenteric artery embolism. It can reduce the cost of medical research and help patients regain confidence. It is recommended that it be popularized.
, 百拇医药
[Key words] Superior mesenteric artery embolism disease; Patient treatment; Research and analysis
【中图分类号】R197.7 【文献标识码】B
【文章编号】2095-6851(2020)03-224-02
作为一种不是很常见的急腹症，急性肠系膜上动脉栓塞疾病致死率高，且现代的治疗方式主要是支架植入手术。微创手术治疗对患者的身体影响不大，且简单易操作，无痛，治疗效果好，因此也是高龄患者或者则是多脏器疾病患者的首选治疗手段。在诊断治疗中，彩色多普勒超声技术能够为诊断患者疾病以及患者治疗结果进行一定的判断[1]，因此在肠系膜上动脉栓塞诊断中最为常用。本次研究选取本院2016年1月-2018年6月收治的肠系膜上动脉栓塞患者，采用彩色多普勒超声检验方式，观察患者在手术后次日、三个月、半年和一年内，患者肠系膜上动脉栓塞的变化性现象，现将相关病例报道如下：
1 一般资料与方法
1.1 一般资料
本次研究选取本院2016年1月-2018年6月收治的肠系膜上动脉栓塞患者70例，其中，男性患者34例，年龄为44-65岁，平均年龄为(53.2±4.9)岁，女性患者46例，年龄为53-67岁，平均年龄为(59.3±2.65)岁，所有患者均采用彩色多普勒超声检验方式，观察患者在手术后次日、三个月、半年和一年内，患者肠系膜上动脉栓塞的变化性现象，患者对检验过程均知情，签署知情同意书。, 百拇医药(王丽 冯燕 张成德)
【关键词】肠系膜上动脉栓塞疾病;患者治疗;研究分析
, 百拇医药
[Abstract] Objective：To explore the application of color Doppler ultrasonography in the diagnosis of superior mesenteric artery embolism. Methods：The patients with superior mesenteric artery embolism admitted to our hospital from January 2016 to June 2018 were examined by color Doppler ultrasonography. The variability of superior mesenteric artery embolism was observed the next day， three months， six months and one year after operation， and the existence of embolism disease was analyzed. Detailed analysis of the results of the corresponding research is as follows. Results： In the post-operative examination， SMA had different internal diameters， and the stent was open well. The peak systolic and diastolic flow velocities decreased slightly in 6-12 months after operation， and recovered to the post-operative level 12 months after operation. There was no difference in peak flow velocity， acceleration time and resistance index between the two groups (p > 0.05). The results of pathological examination in the hospital were analyzed. All patients recovered well after operation. Two patients suffered from myocardial infarction at 6 months and recovered slowly after treatment. Conclusion： In summary， color Doppler ultrasonography plays a role in screening and follow-up monitoring of superior mesenteric artery embolism. It can reduce the cost of medical research and help patients regain confidence. It is recommended that it be popularized.
, 百拇医药
[Key words] Superior mesenteric artery embolism disease; Patient treatment; Research and analysis
【中图分类号】R197.7 【文献标识码】B
【文章编号】2095-6851(2020)03-224-02
作为一种不是很常见的急腹症，急性肠系膜上动脉栓塞疾病致死率高，且现代的治疗方式主要是支架植入手术。微创手术治疗对患者的身体影响不大，且简单易操作，无痛，治疗效果好，因此也是高龄患者或者则是多脏器疾病患者的首选治疗手段。在诊断治疗中，彩色多普勒超声技术能够为诊断患者疾病以及患者治疗结果进行一定的判断[1]，因此在肠系膜上动脉栓塞诊断中最为常用。本次研究选取本院2016年1月-2018年6月收治的肠系膜上动脉栓塞患者，采用彩色多普勒超声检验方式，观察患者在手术后次日、三个月、半年和一年内，患者肠系膜上动脉栓塞的变化性现象，现将相关病例报道如下：
1 一般资料与方法
1.1 一般资料
本次研究选取本院2016年1月-2018年6月收治的肠系膜上动脉栓塞患者70例，其中，男性患者34例，年龄为44-65岁，平均年龄为(53.2±4.9)岁，女性患者46例，年龄为53-67岁，平均年龄为(59.3±2.65)岁，所有患者均采用彩色多普勒超声检验方式，观察患者在手术后次日、三个月、半年和一年内，患者肠系膜上动脉栓塞的变化性现象，患者对检验过程均知情，签署知情同意书。, 百拇医药(王丽 冯燕 张成德)