JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2016, Vol. 54 ›› Issue (6): 78-81.doi: 10.6040/j.issn.1671-7554.0.2015.853

Previous Articles     Next Articles

Diagnostic value of color Doppler ultrasound for patients with anterior tibial artery steal due to atherosclerotic occlusive disease in lower extremity

WU Shixiu1,2, LI Jie1, JIA Huigang2, LI Jine2, CUI Linling2, LU Hong2   

  1. 1. Department of Ultrasound, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China;
    2. Department of Special Inspection, Laiwu Steel Group Hospital, Laiwu 271126, Shandong, China
  • Received:2015-09-09 Online:2016-06-20 Published:2016-06-20

PDF (PC)

518

Abstract: Objective To explore the diagnostic value of color Doppler ultrasound for patients with anterior tibial artery steal due to atherosclerotic occlusive disease in the lower extremity. Methods A total of 30 patients were enrolled as the case group, while 30 healthy volunteers served as healthy controls(the control group). All patients received color Doppler ultrasound examination of the anterior tibial artery(ATA), medial anterior malleolarartery(MAM), lateral malleolus anteriorartery(LAM), medial posterior malleolarartery(MPM), and lateral posterior malleolarartery(LPM). The arterial diameter(D), blood flow direction and peak systolic velocity(PSV)were recorded. Results In the case group, there were 48 anterior tibial artery steal, 43 countercurrent MAM and LAM, 3 countercurrent MAM, 2 countercurrent LAM. Compared with the control group, MAM, LAM and MPM, LPM lumen widened, flow velocity increased, and the difference was statistically significant(P<0.05, P<0.01). Conclusion Color Doppler ultrasound can sensitively identify anterior tibial artery steal and permit quantification of the medial malleolus and lateral artery net. Therefore, it is significant in the clinical diagnosis of anterior tibial artery steal.

Key words: Ultrasonography, Doppler, Color, Medial malleolus artery net, Anterior tibial artery steal, Anterior tibial artery stenosis, Lateral malleolus artery net

CLC Number: 

  • R445
[1] 张步林, 朱家安, 胡兵, 等. 糖尿病下肢动脉闭塞发生部位及侧支血管形成的超声表现[J]. 中国医学影像技术, 2007, 23(2): 229-231. ZHANG Bulin, ZHU Jiaan, HU Bing, et al. Lower extremity arterial occlusive location and collateral artery formation in patients with diabetes: sonographic findings[J]. Chin J Med Imaging Technol, 2007, 23(2): 229-231.
[2] 杨川, 郭发才, 周栋. 重症下肢缺血治疗的研究进展[J]. 重庆医学, 2015, 44(4): 544-547.
[3] 田硕, 黄新天. 下肢动脉硬化闭塞症血管腔内治疗的研究进展[J]. 中国现代普通外科进展, 2011, 14(4): 302-305.
[4] 李玉斌, 孙艳艳, 姜同柏, 等. 大隐静脉原位转流术治疗下肢Ⅲ、Ⅳ期动脉硬化闭塞症的疗效[J]. 山东大学学报(医学版), 2012, 50(11): 92-95. LI Yubin, SUN Yanyan, JIANG Tongbai, et al. In situ great saphenous vein bypass for the treatment of Ⅲ, Ⅳ arteriosclerosis obliterans of lower limb[J]. Journal of Shandong University(Health Sciences), 2012, 50(11): 92-95.
[5] Jiang Y, Huang S, Fu X, et al. Epidemiology of chronic cutaneous wounds in China[J]. Wound Repair Regen, 2011, 19(2): 181-188.
[6] 任卫东, 唐力. 血管超声诊断基础与临床[M]. 北京:人民军医出版社, 2005: 167-168.
[7] 吴世秀. 胫前动脉窃血的彩色多普勒超声研究[J]. 中国实用医药, 2015, 10(15): 81-82.
[8] 畅坚, 许樟荣, 张磊, 等. 足踝部血管网与糖尿病足的动脉造影分析[J]. 中国糖尿病杂志, 2012, 20(3): 192-195. CHANG Jian, XU Zhangrong, ZHANG Lei, et al. Ankle-pedal vascular network and diabetic foot[J]. Chin J Diabetes, 2012, 20(3): 192-195.
[9] 刘妍, 李杰, 张开宁, 等. 彩色多普勒超声对大动脉炎患者颈动脉窃血的诊断价值[J]. 中华超声影像学杂志, 2013, 22(2): 119-122. LIU Yan, LI Jie, ZHANG Kaining, et al. Value of color Doppler ultrasound on assessing blood flow in Takayasu arteritis with carotid steal[J]. Chin J Ultrasonogr, 2013, 22(2): 119-122.
[10] 刘浩, 孙殿敬, 鞠丽君. 彩色多普勒超声诊断下肢动脉狭窄及闭塞价值[J]. 中华实用诊断与治疗杂志, 2013, 27(4): 371-372.
[11] 范宁, 王海龙. 彩色多普勒超声与数字减影血管造影对老年人下肢动脉狭窄诊断的比较[J]. 中国临床研究, 2012, 25(5): 491-492.
[12] Alexander JQ, Leos SM, Katz SG. Is duplex ultrasonography an effective single modality for the preoperative evaluation of peripheral vascular disease?[J]. AM Surg, 2002, 68(12): 1107-1110.
[13] Aly S, Jenkins MP, Zaidi FH, et al. Duplex scanning and effect of multisegmental arterial disease on its accuracy in lower limb arteries[J]. Eur J Vasc Endovasc Surg, 1998, 16(4): 345-349.
[14] Eiberg JP, Hansen MA, Jensen F, et al. Ultrasound contrastagent improves imaging of lower limb occlusive disease[J]. Eur J Vasc Endovasc Surg, 2003, 25(1): 23-28.
[15] 胡骥琼, 王道明, 司春强, 等. 下肢动脉硬化闭塞症侧支循环流出道的解剖学特点及临床应用初探[J]. 中国修复重建外科杂志, 2008, 22(5): 571-574. HU Jiqiong, WANG Daoming, SI Chunqiang, et al. Anatomy and clinical application of bypass circuit outflow tract of arterial sclerosis obstruction[J]. Chin J Reparative and Reconstructive Surgery, 2008, 22(5): 571-574.
[16] 王薇, 吕佳南, 韩梅, 等. 超声造影对动脉硬化的诊断价值[J]. 中国老年学杂志, 2012, 32(8): 3571-3572.
[1] ZHANG Peipei, LIU Dequan, WANG Bei, HE Shuqian, LI Fei, DING Hongyu, SUN Hongjun. Sonographic findings and pathological features of non-mass pure ductal carcinoma in situ [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(11): 54-58.
[2] LI Yuanyuan, WANG Ximing, WANG Long, JI Congshan, DUAN Yanhua,CHENG Zhaoping, LIU Yanping, CHEN Jing. Application of flash spiral acquisition by dual-source CT in children with cardiovascular airway constriction [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(11): 59-64.
[3] MENG Jian, MA Lin, KAN Yanmin, WANG Yuan. Early changes of pelvic floor function after transabdominal hysterectomy observed with transperineal pelvic ultrasound [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(8): 76-81.
[4] HU Yujing, WU Dayong, ZHANG Wenyan, BIAN Yanzhu, WEI Qiang, TIAN Congna, CHANG Shengli. Correlation between 99Tcm-MNLS hypoxic scintigraphy and hypoxia-inducible factor-1α after radiotherapy [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(8): 30-34.
[5] DOU Ruixin, XUE Minna, LI Guohua. Diagnostic value of three-dimensional reconstruction in cystic duct variation based on VTK [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(7): 84-88.
[6] . [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(5): 131-132.
[7] DUAN Sujuan, SHI Dandan, SHANG Mengmeng, GUO Lu, SUN Xiao, MENG Dong, LI Jie. Preparation and characteristics of novel nanoscaled ultrasound contrast agents [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(4): 50-54.
[8] ZHANG Yunhua, LI Jie. Diagnostic value of the level of plasma lipoprotein-associated phospholipase A2 and the CEU degree of neovascularization of carotid artery plaque in acute cerebral infarction [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(3): 112-116.
[9] ZHANG Man, MA Lin, KAN Yanmin. Estimation of birth weight of term fetus based on mathematical equations [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(1): 92-96.
[10] BAO Hongjing, WANG Guangbin, WANG Shanshan, WU Chao. Diffusion-weighted MR neurography of the median nerve in carpal tunnel syndrome: a preliminary study [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(11): 72-75.
[11] MENG Xiangshui, CHAI Xiangjun, MA Xiangxing, REN Qingguo, YANG Zhicheng. Value of CT and MRI in the treatment options of laryngeal cancer [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(10): 76-79.
[12] WANG Guangbin. Magnetic resonance imaging in the evaluation of pernicious placenta previa [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(9): 7-9.
[13] YUE Qianqian, WANG Xinyi, YANG Zhiqiang, JIANG Shu. Quantitative analysis of spectral CT imaging on hypervascular hepatic metastasis and hepatocellular carcinoma [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(7): 50-55.
[14] WANG Yihua, MA Lin, KAN Yanmin, WANG Wentao. Early ultrasound observation of uterine incision defect after cesarean section and analysis of related factors [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(5): 39-44.
[15] ZHANG Zhan, XU Xiangfeng, LIU Haidong, WANG Wei. Diagnostic value of MRI in the T-staging of cervical cancer [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(5): 70-73.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Copyright 2018 © Editorial office of Journal of Shandong University (Health Sciences)
Supported by Beijing Magtech Co.Ltd