Nghiên cứu tổn thương xơ vữa động mạch cảnh ở bệnh nhân suy thận mạn tính

ban sd I, Y hpc thanh phd Hd Chi Minh, tr 22-27.

3. Brueh SW. (2006),"Congenital malformation of

the Esophagus", Pediatric Gastmintestinal and Liver

Deasease, Saunders Elsevier, Philadelphia, pp. 293-

300.

4. Haight C. (1944),"Congenital Atresia of the

Esophagus with Tracheoesophageal Fistula:

Reconstruction of esophageal continuity by primary

anastomosis", Annals of Surgery, Octobr, pp.623-655.

5. McCallion W. A., Hannon R.J.

(1992),"Prophylactic Extrapleural Chest Drainage

Following Repair of Esophageal Atresia: Is it

Necessary", J. PedlatrSurg, 27, pp. 561.

6. Tonz M., Kohli S. (2004),"Oesophageal Atresia:

what has changed in the last 3 decades?", Pediatr Surg

Int 20, pp. 768-772.

7. Shanna S., Sinha S.K. (2007),"/\zygos vein

preservation in primary repair of esophageal atresia with

tracheoesophageal fistula", Pediatr Surg Intemational.

23,pp 1215-1218.

NGHIEN CUU TON THUONG XO VUA DONG MACH CANH

or BENH NHAN SUY THAN MAN TINH

T6M TAT

Mgc tidu: Dinh gii DDNTM vi ming xa vira dgng

mgch cinh (DMC) & cic bdnh nhin suy thgn mgn dieu

tri bao tdn (STM-DTBT) vi chgy thgn nhin tgo chu ky

(TNTCK) bing sidu im Doppler.Doi ttrgng: 203 bgnh

nhan suy thin mgn dwgc diiu tri bao tdn, 58 bgnh nhin

chay TNTCK vi 66 ngtr&i khde mgnh.Phwang phip: md

ta cit ngang. Ke* ",ua: Dg day ngi tmng mgch (DDNTM)

ddng mgch canh nhdm STM-DTBT vi TNTCK eao han

c6 y nghTa so v&i nhdm chung v&i(0,835 ± 0,110 va

0,893 ± 0,213 so v&i 0,713 ± 0,092mm; p < 0,001).Ti lg

ring xa vira vi canxi hda mang vira a cic nhdm suy

thin deu cao hon so v&l nhdm chimg cd y nghTa v&i p <

O.OI.Dd diy ndi tmng mgch (DDNTM) dgng mgch canh

nhdm STM-DTBT ed mdi twang quan thugn v&i huyet

ip(r = 0,685; p < 0,001), cholestemi (r = 0,553; p <

0,001) vi khdi ca thit trii (r = 0,46 ; p < 0,001). Dg diy

nil tmng mgch (DDNTM) dgng mgch canh nhdm

TNTCK cd mdi twang quan thugn v&i ting huyit ip (r =

0,58; p<0,001; p < 0,001), LDL-C(r = 0,66; p < 0,001) vi

khdi ca thit trii (r =0,22; p<0,01).

Kit luin: Nghien cuv eua ehiing tdi thay cd tang

DDNTM dgng mgch cinh & cic bgnh nhin STM-DTBT

vi TNTCK.Ming xa vira vi canxi hda dgng mgch canh

thtr&ng gip & nhung bdnh nhan suy thgn mgn niy.

Tir khda: Dd diy ngi tmng mgc, mang xa vda dgng

mgch cinh, suy thin mgn, sieu am Doppler

STUDY THE LESIONS OF CAROTID ARTERIES IN

PATIENTS WITH CHRONIC RENAL FAILURE

SUMMARY:

Objectives: To assess the Intima-media thickness

and athemmatous plaque of camtid arteries in patients

with chmnic mnal failum on consen/ative tmatment or on

maintenance hemodialysis using Doppler ultrasound.

Subjects: 203 patients with chmnic mnal failure on

conservative tmatment and 58 patients on maintenance

hemodialysis and 66 healthy subjects. Method: emss￾sectional descriptive. Results: Intima-media thickness

(IMT) of camtid arteries of patients with chmnic mnal

failure on consen/ative tmatment or on maintenance

hemodialysis was significantly gmater than that of

contml gmup (0,835 ±0,110 and 0,893 ±0,213 versus

0,713 ± 0,092mm (p < 0,001). The pmportion of cases

DANG TH! VliT HA, PHAM THANG

with athemmatous plaque and plaque calcification in

mnal failum gmup was significantly higher than that of

contml group (p< 0,01). IMT of carotid arteries In gmup

of patients on conservative treatment was dimctly

proportional to blood pressum (r = 0,685, p < 0,001),

cholesterol levels(r = 0,553; p < 0,001) and left

ventricular mass (r = 0,46 ; p < 0,001). IMT of camtid

arteries in group of patients on maintenance

hemodialysis was dimctly proportional to blood pmssure

(r = 0,58; p<0,001; p < 0,001), LDL-C levels (r = 0,66; p

< 0,001) and left ventricular mass (r = 0,22; p < 0,01).

Conclusion: Our study showed the incmase of IMT of

carotid arteries in patients with mnal failure on

conservative treatment or on maintenance hemodialysis.

The atheromatous plaque and calcification of camtid

arteries were more frequently observed in this gmup of

patients.

Keywords: Intima media thickness, atheromatous

plaque of carotid arteries, chmnic mnal failure, Doppler

ultrasound.

OAT VAN Dt

Benh ly tim mgch duyc xem la nguyen nhan ehinh

gay tip vong d cac bgnh nhan suy thgn mgn trude khi

chgy thgn va trong chgy thgn chu ky gyi y d cae bgnh

nhan nay ed the cd ti le xo viTa mgch cao, dgc bigt cac

ylu td nguy co tim mach nhu rdi logn lipid, rdi logn

nguong dudng va phi dai that trai la nhCTng nguyen

nhan thudng quan sat thay d quin thi cac bgnh thgn

mgn tinh giai dogn eudi.

Sieu am Doppler la phuong phap sieu am de thyc

hign,di phat trien va la phuong phap thyc hanh khdng

xam nhgp duyc siT dgng de phat hign va theo doi tien

triln cua xo vCTa mgch tien lam sang. Them nCTa, nghien

CUPU d nhiTng ngudi khde mgnh eho thay DDNTM

>0.9mm duyc xem nhu la mpt ylu td ehi diem eho xo

viTa mgch ndi chung va cd lien quan rd rgt tdi cac veu td

nguy eo tim mgch. Hon the nO'a, mang xo vCTa xuat hign

khi tang DDNTM > 1mm va/hoge xuat hign cac mang

vu'a kin dao, lign quan tdi tang nguy eo nhdi mau co tim

len 3 lin d nhu-ng ngudi khde manh. Cae bgnh ly v l

mgch vanh khac cung lien quan tdi DDNTM dpng mgch

canh va d cae bgnh nhan tang huyet ap thay ed day Idp

nOi trung mgc dpng mgch canh va diii. Roman MJ va

Y HOC THl/C HANH (751) - SO 2/2011 119