中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
15期
115-117,161
,共4页
锁骨下动脉盗血综合征%彩色多普勒血流显像%经颅多普勒%数字减影血管造影
鎖骨下動脈盜血綜閤徵%綵色多普勒血流顯像%經顱多普勒%數字減影血管造影
쇄골하동맥도혈종합정%채색다보륵혈류현상%경로다보륵%수자감영혈관조영
Subclavian steal syndrome (SSS)%Color Doppler flow imaging (CDFI)%Transcranial Doppler (TCD)%Digital subtraction angiography(DSA)
目的：探讨彩色多普勒血流显像（CDFI）、经颅多普勒（TCD）和数字减影血管造影（DSA）对锁骨下动脉盗血综合征（SSS）的诊断价值。方法选取2013年1~12月间我院收治的SSS患者42例，分别对其行CDFI、TCD与DSA诊断。结果（1）CDFI诊断结果：17例锁骨下动脉中度狭窄、15例重度狭窄、10例动脉闭塞；32例动脉粥样硬化斑块、7例大动脉炎。（2）TCD诊断结果：I期盗血16例，Ⅱ期20例，Ⅲ期6例。（3）DSA诊断结果：8例锁骨下动脉轻度狭窄，14例中度狭窄，12例重度狭窄，8例动脉闭塞。结论上述三种诊断方法对SSS均具有重要的诊断价值，临床上可将上述方法进行联合，以提高诊断准确性。但其中只有DSA诊断法可向医师提供锁骨下动脉动态血管路径图与几何数据资料，将为患者手术方案的制定提供良好的参考意见。因此，若存在条件限制，无法行三种诊断法联合诊断时，推荐对SSS患者行DSA诊断。
目的：探討綵色多普勒血流顯像（CDFI）、經顱多普勒（TCD）和數字減影血管造影（DSA）對鎖骨下動脈盜血綜閤徵（SSS）的診斷價值。方法選取2013年1~12月間我院收治的SSS患者42例，分彆對其行CDFI、TCD與DSA診斷。結果（1）CDFI診斷結果：17例鎖骨下動脈中度狹窄、15例重度狹窄、10例動脈閉塞；32例動脈粥樣硬化斑塊、7例大動脈炎。（2）TCD診斷結果：I期盜血16例，Ⅱ期20例，Ⅲ期6例。（3）DSA診斷結果：8例鎖骨下動脈輕度狹窄，14例中度狹窄，12例重度狹窄，8例動脈閉塞。結論上述三種診斷方法對SSS均具有重要的診斷價值，臨床上可將上述方法進行聯閤，以提高診斷準確性。但其中隻有DSA診斷法可嚮醫師提供鎖骨下動脈動態血管路徑圖與幾何數據資料，將為患者手術方案的製定提供良好的參攷意見。因此，若存在條件限製，無法行三種診斷法聯閤診斷時，推薦對SSS患者行DSA診斷。
목적：탐토채색다보륵혈류현상（CDFI）、경로다보륵（TCD）화수자감영혈관조영（DSA）대쇄골하동맥도혈종합정（SSS）적진단개치。방법선취2013년1~12월간아원수치적SSS환자42례，분별대기행CDFI、TCD여DSA진단。결과（1）CDFI진단결과：17례쇄골하동맥중도협착、15례중도협착、10례동맥폐새；32례동맥죽양경화반괴、7례대동맥염。（2）TCD진단결과：I기도혈16례，Ⅱ기20례，Ⅲ기6례。（3）DSA진단결과：8례쇄골하동맥경도협착，14례중도협착，12례중도협착，8례동맥폐새。결론상술삼충진단방법대SSS균구유중요적진단개치，림상상가장상술방법진행연합，이제고진단준학성。단기중지유DSA진단법가향의사제공쇄골하동맥동태혈관로경도여궤하수거자료，장위환자수술방안적제정제공량호적삼고의견。인차，약존재조건한제，무법행삼충진단법연합진단시，추천대SSS환자행DSA진단。
Objective To explore the diagnostic value of color Doppler flow imaging (CDFI), transcranial Doppler(TCD) and digital subtraction angiography(DSA) on subclavian steal syndrome (SSS). Methods Atfal of 42 patients with SSS who were admitted to our hospital from January 2013 to December 2013 were selected. They were diagnosed by CDFI, TCD and DAS respectively. Results (1)CDFI diagnostic:17 patients had moderate stenosis of subclavian artery, 15 pa-tients had severe stenosis, and 10 patients had arterial occlusion. 32 patients had atherosclerotic plaque and 7 patients had takayasu arteritis. (2)TCD diagnostic: 16 patients had phase I steal blood, 20 patients had phase II steal blood, and 6 patients had phase III steal blood. (3)DSA diagnostic: 8 patients had mild stenosis of subclavian artery, 14 pa-tients had moderate stenosis, 12 patients had severe stenosis, and 8 patients had arterial occlusion. Conclusion The above three diagnoses all have significant diagnostic value on SSS, and the above methods can be combined clinically so as to improve the accuracy of diagnosis. However, only DAS diagnosis is able to provide dynamic vascular path dia-gram of subclavian artery and geometric data for patients, and this will provide beneficial suggestions for formulating patients' surgical procedures. Therefore, if conditions are limited and combined diagnosis with three diagnostic methods cannot be carried out, the current author suggests DSA diagnosis for patients with SSS.
