肢体动脉急慢性闭塞的彩色多普勒超声诊断
지체동맥급만성폐새적채색다보륵초성진단
Color Doppler ultrasonography in the diagonosis of acute and chronic artery occlusion of the extremities
  • 万方数据
    中华普通外科杂志 중화보통외과잡지
    CHINESE JOURNAL OF GENERAL SURGERY
    2011年 3期 188-191 ,共4页

    周晗%吴庆华%陈忠%唐小斌%张煜亚%杨培%寇镭%吴章敏%刘晖%李庆%王盛%何楠%张征%贾云峰

    주함%오경화%진충%당소빈%장욱아%양배%구뢰%오장민%류휘%리경%왕성%하남%장정%가운봉

    超声检查,多普勒,彩色%动脉闭塞性疾病%四肢 超聲檢查,多普勒,綵色%動脈閉塞性疾病%四肢
    초성검사,다보륵,채색%동맥폐새성질병%사지
    Ultrasonography,Doppler,color%Arterial occlusive disease%Extremities
    目的 研究彩色多普勒超声诊断肢体动脉急慢性闭塞的临床价值.方法 回顾性分析北京安贞医院血管外科2006-2010年收治的129例肢体动脉闭塞患者的临床资料,其中男性85例,女44例,年龄为17～94岁,平均(62±9)岁.分析39条急性闭塞动脉和97条慢性闭塞动脉的二维、彩色多普勒超声结果,对两组闭塞段管腔内回声、管壁结构、闭塞近远段血流动力学参数及侧支动脉进行对比.结果 急慢性动脉闭塞在闭塞段管壁厚度、内径、闭塞近段阻力指数和侧支动脉方面有统计学意义(P＜0.05).急性动脉闭塞段内径大于慢性闭塞段,而管壁厚度、闭塞近段阻力指数和侧支动脉明显小于慢性闭塞段.超声诊断急慢性动脉闭塞的准确率是95.6%.结论 彩色多普勒超声是鉴别肢体动脉急慢性闭塞有价值的检查手段,能够为临床诊断和手术治疗提供客观依据.
    목적 연구채색다보륵초성진단지체동맥급만성폐새적림상개치.방법 회고성분석북경안정의원혈관외과2006-2010년수치적129례지체동맥폐새환자적림상자료,기중남성85례,녀44례,년령위17～94세,평균(62±9)세.분석39조급성폐새동맥화97조만성폐새동맥적이유、채색다보륵초성결과,대량조폐새단관강내회성、관벽결구、폐새근원단혈류동역학삼수급측지동맥진행대비.결과 급만성동맥폐새재폐새단관벽후도、내경、폐새근단조력지수화측지동맥방면유통계학의의(P＜0.05).급성동맥폐새단내경대우만성폐새단,이관벽후도、폐새근단조력지수화측지동맥명현소우만성폐새단.초성진단급만성동맥폐새적준학솔시95.6%.결론 채색다보륵초성시감별지체동맥급만성폐새유개치적검사수단,능구위림상진단화수술치료제공객관의거.
    Objective To investigate the clinical value of color Doppler ultrasound examination in the diagonosis of acute and chronic artery occlusion of the extremities. Methods A review was made on 129 extremetiy artery occlusion patients at Anzhen Hospital during 2006 -2010. 85 cases were male, and 44 cases were female. Age was from 17 to 94 years (average: 62 ±9 years). We analyzed two-dimensional and color Doppler flow imagings of 39 acute occlusion arteries and 97 chronic occlusion arteries. We compared factors including the echoes of artery lumens, the vessel wall structures, hemodynamic parameters of inlet and outlet at the occlusion, and collaterals between groups. Results The factors of depths of vessel wall,internal diameters of ccclusion arteries, proximal resistant index and collaterals were significantly different between groups ( P ＜ 0. 05 ). The internal diameters of acute occlusion arteries were wider than chronic occlusion arteries. The depths of vessel wall, proximal resistant index and collaterals were thinner, smaller,and less than chronic occlusion arteries. The total accurate rate of differential diagnosis for acute and chronic artery occlusion by color Doppler ultrasound was 95.6％. Conclusions Color Doppler ultrasound is an effective method for the differential diagnosis of acute and chronic artery occlusion of the extremities.
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