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[通过超声研究数据评估动脉粥样硬化性血管病变患者动脉壁的弹性特性]

[The evaluation of the elastic properties of the arterial wall by ultrasonic study data in patients with atherosclerotic vascular lesions].

作者信息

Kostylev M V, Grigorash G A, Egorova O N, Mishalov V G, Smorzhevskiĭ V I

出版信息

Klin Khir. 1997(3-4):34-7.

PMID:9377250
Abstract

Ultrasonic scanning method in a real scale of time was used in examination of 10 patients with abdominal aorta (AA) aneurysm, 10-with arterial hypertension (AH), 10-with obliterating atherosclerosis of the lower extremities vessels (OALEV) without AH and practically healthy controls aged 32-45 years. AA aneurysm and OALEV diagnosis was made according to the ultrasonic investigation and roentgen-contrast angiography data obtained. The statistically significant (P < 0.05) reduce of AA wall distentivity and its rigidity increase was disclosed while there were no differences of the values of vessel diameter, normalized for the body surface square, determined by the measured magnitude of the relative vessels deformation caused by the pulse change in arterial pressure. The changes of the vascular wall elastic-viscositive properties in patients with OALEV and AH were directed similarly but they lacked intensity. The AA aneurysm magnitude did not correlate with the degree of vascular wall distentivity (r = 0.46).

摘要

采用实时超声扫描方法对10例腹主动脉(AA)瘤患者、10例动脉高血压(AH)患者、10例无AH的下肢血管闭塞性动脉粥样硬化(OALEV)患者以及年龄在32 - 45岁的实际健康对照者进行检查。根据超声检查及所获得的X线造影血管造影数据做出AA瘤和OALEV的诊断。结果显示,AA壁扩张性有统计学意义的降低(P < 0.05)且其硬度增加,而根据动脉压脉搏变化引起的血管相对变形测量值所确定的、经体表面积归一化的血管直径值并无差异。OALEV和AH患者血管壁弹性 - 粘性特性的变化趋势相似,但程度较轻。AA瘤的大小与血管壁扩张程度无关(r = 0.46)。

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