Evaluation of abnormality of intrarenal veins in patients of diabetic nephropathy with color Doppler ultrasonography
10.3760/cma.j.issn.1673-4904.2018.12.011
- VernacularTitle:彩色超声多普勒评价糖尿病肾病患者肾内静脉异常
- Author:
Yang GUO
1
;
Yuhong ZHANG
;
Benli SU
Author Information
1. 浙江大学医学院附属第二医院心脏超声科
- Keywords:
Diabetic nephropathy;
Kidney;
Vein;
Impedance index
- From:
Chinese Journal of Postgraduates of Medicine
2018;41(12):1098-1101
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluation of abnormality of intrarenal veins in the patients of diabetic nephropathy (DN) and the correlation between the intrarenal venous impedance index (VII) and renal function with color Doppler ultrasonography. Methods Sixty-four subjects with type 2 diabetic nephropathy from December 2016 to October 2017 were enrolled and divided into three groups according to glomerular filtration rate(GFR) level: GFR≥90 ml/(min·1.73 m2) as group B (25 cases), 60 ml/(min·1.73 m2)≤GFR＜90 ml/(min·1.73 m2) as group C (21 cases), GFR＜60 ml/(min·1.73 m2) as group D(18 cases), and 25 healthy volunteers were recruited as group A. Color Doppler ultrasonography was used to obtain the intrarenal VII. Results There were significant differences among A, B, C, D group of right renal segmental vein (0.41 ± 0.04, 0.36 ± 0.09, 0.29 ± 0.05, 0.19 ± 0.05; F＝81.85), right renal interlobular vein (0.41 ± 0.03, 0.35 ± 0.04, 0.29 ± 0.04, 0.22 ± 0.11; F＝96.42), left renal segmental vein (0.42 ± 0.08, 0.36 ± 0.05, 0.30 ± 0.08, 0.20 ± 0.04; F＝101.38) and left renal interlobular vein (0.40 ± 0.15, 0.36 ± 0.04, 0.30 ± 0.04, 0.20 ± 0.07; F＝95.71), all P＜0.05. The VII of group B, C and D was significantly lower than that of group A (P＜0.05). The VII of group D was lower than that of group B and C (P＜0.05), and the VII of group C was lower than that of group D(P＜0.05). There were no significant differences of the VII between the left and right kidneys (F＝0.001, P＞0.05). The VII was positively correlative with GFR (r＝0.85, P＜0.05). Conclusions The VII of the patients of DN can be obtained by color Doppler ultrasonography conveniently and non-invasively, which can reflex the renal function changes and provide a new diagnostic index for the patients of DN in diagnosis and treatment.
