彩超对急性动脉栓塞和急性动脉血栓的鉴别诊断  

The Differential Diagnosis of Acute Arterioembolism and Acute Arteriothrombosis using Color Doppler Ultrasonography

作　　者：赵昶[1] 李治安[1] 裴东明[1] 郭银茂[1] 崔复霞[1] 赵青[1] 秦淮[1] 

机构地区：[1]首都医科大学附属北京安贞医院,北京市100029

出　　处：《中国超声医学杂志》2006年第1期32-34,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨彩色多普勒超声对急性动脉栓塞和急性动脉血栓的鉴别诊断价值。方法对手术证实的89条动脉栓塞及123条动脉血栓的超声特点进行分析,对病程、血管的病变部位、管壁结构、病变近端和远段的血流动力学进行比较。结果急性动脉栓塞和急性动脉血栓在病程、有无侧支血管、管壁结构和病变远段阻力指数两组间差异显著(P<0.05)。病变近端内径两样本均数差异有显著意义(P<0.05)。病变近端最高血流速度、加速度时间、阻力指数两组差异无显著性意义(P>0.05),病变远段内径最高血流速度及加速度时间两组差异无显著性意义(P>0.05)。结论彩色多普勒超声参数有助于动脉栓塞和动脉血栓鉴别诊断。Objective To explore the applicable value of code ultrasound Doppler in differential diagnosis in acute arterioembolism and acute arteriothrombosis. Methods The 2-D and Doppler echo characteristic were analyzed in 89 arterious embolism and 123 arterious thrombosis verified by surgery, and some parameters history, the vessel wall structures, hemodynamic of inlet and outlet at the lesion were compared to between the two groups. Results There existed a significant difference in history,vessel wall structure, the establishment of collaterals ,inner dimension proximal to the lesion and resistant index distal to the lesion between the acute embolism and acute thrombosis groups （P〈0.05）. However, there existed no significant difference in accelerated time, resistant index and maximal velocity proximal to the lesion between the acute embolism and acute thrombosis groups （P〉0.05）. No significant difference was found in maximal blood velocity, accelerated time distal the lesions between the two groups. Conclusions The ultrasound parameters can provide very valuable information in differential diagnosing arterioembolism and thrombosis.

关 键 词：彩色多普勒超声 动脉栓塞 动脉血拴 

分 类 号：R445.1[医药卫生—影像医学与核医学]