中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2015年
2期
22-24
,共3页
肠系膜上动脉%夹层动脉瘤%彩超
腸繫膜上動脈%夾層動脈瘤%綵超
장계막상동맥%협층동맥류%채초
Superior Mesenteric Artery%Dissection%Color Doppler
目的：：探讨彩超对自发孤立性肠系膜上动脉夹层( spontaneous isolated dissection of superior mesenteric artery,SIDSMA)的诊断价值。方法：回顾性分析我院7例SIDSMA的彩超表现及临床治疗措施,并根据Yun 的标准进行分型。结果彩超能清楚显示肠系膜上动脉夹层的真、假腔和内膜瓣,并能适时测量SMA内血流速度,评估狭窄程度,其中Ⅰ型2例,Ⅱ型5例,Ⅲ型0例；6例行内科保守治疗,1例行腔内支架治疗。结论：彩超有助于SIDSMA的诊断,对临床及时、准确的诊断,快速选择治疗方法,具有重要的指导价值。
目的：：探討綵超對自髮孤立性腸繫膜上動脈夾層( spontaneous isolated dissection of superior mesenteric artery,SIDSMA)的診斷價值。方法：迴顧性分析我院7例SIDSMA的綵超錶現及臨床治療措施,併根據Yun 的標準進行分型。結果綵超能清楚顯示腸繫膜上動脈夾層的真、假腔和內膜瓣,併能適時測量SMA內血流速度,評估狹窄程度,其中Ⅰ型2例,Ⅱ型5例,Ⅲ型0例；6例行內科保守治療,1例行腔內支架治療。結論：綵超有助于SIDSMA的診斷,對臨床及時、準確的診斷,快速選擇治療方法,具有重要的指導價值。
목적：：탐토채초대자발고립성장계막상동맥협층( spontaneous isolated dissection of superior mesenteric artery,SIDSMA)적진단개치。방법：회고성분석아원7례SIDSMA적채초표현급림상치료조시,병근거Yun 적표준진행분형。결과채초능청초현시장계막상동맥협층적진、가강화내막판,병능괄시측량SMA내혈류속도,평고협착정도,기중Ⅰ형2례,Ⅱ형5례,Ⅲ형0례；6례행내과보수치료,1례행강내지가치료。결론：채초유조우SIDSMA적진단,대림상급시、준학적진단,쾌속선택치료방법,구유중요적지도개치。
Objective:To evaluate the effect of Color Doppler in the diagnosis of spontaneous isolated dissection of superior mesenteric artery ( SIDSMA) . Methods:Retrospectively analyzed 7 patients with SIDSMA, who underwent Color Doppler tests. All patient were typed by Yun standards. Results:7 SIDSMA patients were clearly identified by Color Doppler. The true / false lumen, as well as the stenosis de-gree could be assessed. According to Yun standard, 2 cases were typeⅠ, 5 cases were typeⅡ. 6 patients underwent conservative treat-ment, 1 patient had stent implantation. Conclusion:The Color Doppler might be significant sensitive in the diagnosis of SIDSMA.
