彩色多普勒超声早期预测ASO术后再狭窄风险的临床研究  

Clinical research on color Doppler ultrasound early prediction of restenosis after ASO operation

作　　者：徐龙健[1] 施慧华[2] 叶开创[2] 陆信武[2] 蒋米尔[2] 

机构地区：[1]河北省唐山市开滦医院普通外科,河北唐山063000 [2]上海交通大学医学院附属第九人民医院血管外科,上海200011

出　　处：《中国现代普通外科进展》2008年第4期313-316,共4页Chinese Journal of Current Advances in General Surgery

摘　　要：目的:评价彩色多普勒超声作为术后早期随访方法预测ASO术后再狭窄风险的的有效性。方法:回顾性研究25例采用手术治疗的下肢动脉硬化闭塞症患者:第1组为各类开放性转流术者,术后检查移植物血管中段血流峰值流速(middle graft,MG),依据测得值进行中远期闭塞危险性划分。将流出道动脉血流量手术前后的变化量与此结果进行相关性研究;第2组为各类腔内治疗术者,术后随访重点为流出道动脉血流量。亦依据测得值进行中远期闭塞危险性划分。再将之与手术结束后数字减影血管造影(digital subtraction angiography,DSA)检查结果评分进行相关性研究。结果:第1组患者,按MG值划分之结果与流出道动脉血流量增长幅度呈负相关;第2组患者,按流出道动脉血流量划分之结果与DSA评分结果亦呈负相关。结论:彩色多普勒超声检查是下肢动脉硬化闭塞症术后早期随访的有效方法。Objective： To study the early application of color duplex ultrasound in the evaluation of the arteriosclerosis occlusion after operation. Methods： we retrospectively divided the patients with atherosclerotic occlusion after open crossover surgery and endovascular treatment into groups 1 （ 12 patients ） and group 2 （ 13 patients ） respectively. In group 1, we assessed the relationship between the separated results of MG and the volume flow measurement in out-flow arteries before and after operation. In group 2, we assessed the relationship between the volume flow measurement in out-flow after-ies and the result of the DSA examination and all the data of group 2 is after treatment. Results In group 1, the correlation of the separated results of MG and the increased amplitude of volume flow measurement in out-flow arteries was negative （P=0.0138,r=-0.6859）. In group 2, the correlation of the volume flow measurement in out-flow arteries and the result of the DSA examination was negative （P=0.0316,r=-0.6198）.ln the patients after open crossover surgery and endovascular treatment, the MG and the volume of out-flow arteries were the significant hemodynamics index respectively, Conclusion The color duplex ultrasonic early application is a perfect method in the follow-up of arteriosclerosis occlusion after operation.

关 键 词：超声检查 多普勒 彩色 动脉硬化 闭塞性 手术 随访 

分 类 号：R654.4[医药卫生—外科学]