肠系膜上动脉压迫综合征的超声显像研究  

Ultrasonographic Study of Superior Mesenteric Artery Syndrome

作　　者：周平[1] 王华[1] 谭建平[1] 彭均贵 陶学谦[1] 赵华 邱菊[1] 

机构地区：[1]山东省淄博市中心医院,淄博市医学会,淄博市传染病医院

出　　处：《中华超声影像学杂志》1995年第4期161-164,共4页Chinese Journal of Ultrasonography

摘　　要：对５０例正常人及４１例肠系膜上动脉压迫综合征患者进行了超声显像研究。正常人与患者在饮水后夹角内及其前后十二指肠横段的宽度均有显著性差异（Ｐ＜０．００１）。首次提出本病的超声诊断标准：①饮水后肠系膜上动脉与腹主动脉夹角内十二指肠横段最大宽度＜１０ｍｍｍ。②十二指肠降段扩张＞３０ｍｍ。③显示“漏斗形”“葫芦形”图像。④肠系膜上动脉与腹主动脉的夹角＜１３°。⑤具有十二指肠梗阻的临床症状与体征。认为实时超声显像诊断肠系膜上动脉压迫综合征具有较大的推广应用价值。Fifty normal persons and forty-one patients with superior mesenteric artery (SMA) syndrome were examined by ultrasonography. It was found that the width of the transverse portion of duodenum within the angle between the SMA and aorta (AO) and that of the proximal and distal portions of the duodenum after drinking water had significant difference between normal persons and Patients (P<0. 001). The authors first present the criteria of the diagnosis of the disease:1.The maximum width of the transverse portion of duodenum within the angle between SMA and AO after drinking water M10mm. 2. Distention of descending portion of duodenum >30mm. 3.″Funnel shaped″or″dumbbell shaped″image of duodenum. 4. The angle between SMA and AO <13°.5.Symptoms and signs of duodenal obstruction. It is suggested that real-time ultrasonography is of great value in the diagnosis of SMA syndrome.

关 键 词：肠系膜上动脉 压迫综合征 肠系膜疾病 超声波 

分 类 号：R572.304[医药卫生—消化系统] R445.1[医药卫生—内科学]