彩色多普勒超声诊断锁骨下动脉盗血综合征  

The diagnosis of subclavian steal syndrome by color Doppler ultrasound

作　　者：康素玲[1] 王金兰[2] 张玉玲[1] 郭辉[1] 

机构地区：[1]河南焦作市人民医院超声科,焦作454002 [2]郑州大学二附院神经内科,郑州450014

出　　处：《中国实用神经疾病杂志》2007年第2期22-23,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的总结锁骨下动脉盗血综合征(SSS)的病因、二维超声表现、彩色多普勒及频谱多普勒特点,评价超声对此病的诊断价值。方法应用PhilipsSonos 4500型彩色多普勒超声诊断仪对15例锁骨下动脉盗血综合征患者椎动脉颅外段、锁骨下动脉、无名动脉、双上肢动脉进行超声检查,观察其超声表现及血流动力学变化。结果15例患者中动脉粥样硬化12例,大动脉炎3例。完全性盗血8例,部分性盗血7例。结论SSS的主要病因是动脉粥样硬化和大动脉炎,彩色多普勒超声可对SSS作出明确诊断,有效评价其血流动力学变化。Objective To evaluate the value of two-dimensional ultrasound and spectral Doppler ultrasound in diagnosis of subclavian steal syndrome（SSS）. Methods Philips Sonos 4500 color Doppler ultrasonic was applied. The extracranial vertebral,subclavian,innominate,double-upper limbs arteries in 15 patients with SSS were examined with ultrasound. Results 12 cases of SSS were atherosclerosis and 3 cases of SSS were aortoarteritis. 8 cases were complete steal and 7 cases were partial steal. Conclusion The main causes of SSS were atherosclerosis and aortoarteritis. Color Doppler ultrasound can diagnose the SSS definitely and observe the variety of hemodynamics of the patients.

关 键 词：锁骨下动脉盗血综合征 超声波 椎动脉 

分 类 号：R445.1[医药卫生—影像医学与核医学]