中国医学装备
中國醫學裝備
중국의학장비
China Medical Equipment
2015年
11期
99-101,102
,共4页
彩色多普勒血流显像%假性动脉瘤%彩色多普勒超声诊断仪%诊断价值
綵色多普勒血流顯像%假性動脈瘤%綵色多普勒超聲診斷儀%診斷價值
채색다보륵혈류현상%가성동맥류%채색다보륵초성진단의%진단개치
Color doppler flow imaging%Pseudoaneurysms%Color ultrasound scanner%Diagnostic value
目的：探讨彩色多普勒血流显像(CDFI)对不同部位假性动脉瘤的诊断价值。方法：选取29例经彩色超声血流显像诊断的假性动脉瘤患者资料进行回顾性分析，对二维超声显像特点和CDFI信号特点进行探讨，所有诊断结果均与手术结果进行对照。结果：29例患者中最大肿块为6.3 cm×11.8 cm×12.5 cm，位于股动脉，最小肿块为2.3 cm×2.8 cm×0.5 cm，位于颈动脉，所有病例均经手术证实，符合率为100%。共发现39个假性动脉瘤，其中22例患者单个假性动脉瘤(占75.86%)，4例患者2个假性动脉瘤(占13.79%)，3例患者3个假性动脉瘤(占10.34%)。二维超声发现破口23例，6例未发现破口，而CDFI均发现破口，“来回运动”血流频谱图是诊断的主要标志。结论：彩色多普勒血流显像安全无创，对假性动脉瘤的诊断具有极高的临床价值，是诊断的首选方法。
目的：探討綵色多普勒血流顯像(CDFI)對不同部位假性動脈瘤的診斷價值。方法：選取29例經綵色超聲血流顯像診斷的假性動脈瘤患者資料進行迴顧性分析，對二維超聲顯像特點和CDFI信號特點進行探討，所有診斷結果均與手術結果進行對照。結果：29例患者中最大腫塊為6.3 cm×11.8 cm×12.5 cm，位于股動脈，最小腫塊為2.3 cm×2.8 cm×0.5 cm，位于頸動脈，所有病例均經手術證實，符閤率為100%。共髮現39箇假性動脈瘤，其中22例患者單箇假性動脈瘤(佔75.86%)，4例患者2箇假性動脈瘤(佔13.79%)，3例患者3箇假性動脈瘤(佔10.34%)。二維超聲髮現破口23例，6例未髮現破口，而CDFI均髮現破口，“來迴運動”血流頻譜圖是診斷的主要標誌。結論：綵色多普勒血流顯像安全無創，對假性動脈瘤的診斷具有極高的臨床價值，是診斷的首選方法。
목적：탐토채색다보륵혈류현상(CDFI)대불동부위가성동맥류적진단개치。방법：선취29례경채색초성혈류현상진단적가성동맥류환자자료진행회고성분석，대이유초성현상특점화CDFI신호특점진행탐토，소유진단결과균여수술결과진행대조。결과：29례환자중최대종괴위6.3 cm×11.8 cm×12.5 cm，위우고동맥，최소종괴위2.3 cm×2.8 cm×0.5 cm，위우경동맥，소유병례균경수술증실，부합솔위100%。공발현39개가성동맥류，기중22례환자단개가성동맥류(점75.86%)，4례환자2개가성동맥류(점13.79%)，3례환자3개가성동맥류(점10.34%)。이유초성발현파구23례，6례미발현파구，이CDFI균발현파구，“래회운동”혈류빈보도시진단적주요표지。결론：채색다보륵혈류현상안전무창，대가성동맥류적진단구유겁고적림상개치，시진단적수선방법。
Objective:To explore the diagnostic value of color soppler flow imaging(CDFI) be applied to pseudoaneurysms in different parts of the body.Methods: Retrospectively analyzed clinical data of 29 pseudoaneurysms patients who were diagnosed by Color Doppler Flow Imaging during january 2012-october 2013, to discuss the features of two-dimensional echocardiography and CDFI signal,all the diagnostic results were compared to the operation results.Results: The biggest lump among 29 patients is 6.3 cm×11.8 cm×12.5 cm, located in femoral artery, the smallest one is 2.3 cm×2.8 cm×0.5 cm, located in carotid artery,all the patients were confirmed by operations, The coincident diagnostic rate was 100%, 39 Pseudoaneurysms had been found in total, among these, the number of patients have single Pseudoaneurysms were 22, about 75.86%, 4 patients have one more pseudoaneurysms, about 13.79%, 3 patients have two more pseudoaneurysms,about 10.34%. 23 breachs have been found by two-dimensional echocardiography, and 6 breachs haven’t been found, but all the breachs have been found by CDFI. "Back and forth movement" flow pattern was the main diagnostic sign.Conclusion: Color doppler flow Imaging is safe and noninvasive,and have high diagnostic value in diagnosing pseudoaneurysms, it is the preferred method in diagnosis.
