彩色多普勒超声对下肢动脉硬化闭塞症胫前动脉窃血的诊断价值

doi:10.6040/j.issn.1671-7554.0.2015.853

摘要/Abstract

摘要： 目的探讨彩色多普勒超声对下肢动脉硬化闭塞症(ASO)胫前动脉窃血的诊断价值。方法选取伴有胫前动脉窃血的ASO患者30例(病例组),同期健康志愿者30例(对照组),超声检测双侧胫前动脉、内踝前动脉、外踝前动脉、内踝后动脉、外踝后动脉。记录各动脉内径、血流方向、峰值流速。结果 30例48条胫前动脉窃血患者中,同侧内踝前动脉、外踝前动脉均逆流共43条,内踝前动脉逆流3条,外踝前动脉逆流2条。病例组内踝前动脉、外踝前动脉、内踝后动脉、外踝后动脉管腔较对照组增宽,流速增高,差异有统计学意义(P<0.05, P<0.01)。结论彩色多普勒超声能够准确地判断胫前动脉窃血患者的内外踝动脉网血流动力学变化情况,为临床选择治疗方案提供参考依据。

关键词: 多普勒, 超声检查, 外踝动脉网, 胫前动脉窃血, 内踝动脉网, 彩色, 胫前动脉狭窄

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

中图分类号:

R445

吴世秀,李杰,贾汇刚,李金娥,崔琳玲,路红. 彩色多普勒超声对下肢动脉硬化闭塞症胫前动脉窃血的诊断价值[J]. 山东大学学报（医学版）, 2016, 54(6): 78-81.

WU Shixiu, LI Jie, JIA Huigang, LI Jine, CUI Linling, LU Hong. Diagnostic value of color Doppler ultrasound for patients with anterior tibial artery steal due to atherosclerotic occlusive disease in lower extremity[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(6): 78-81.

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