下肢静脉溃疡的血流动力学检测  

Detecting Venous Blood Flow Dynamics in Patients with Lower Extremity Ulceration

作　　者：徐秋华[1] 燕山[1] 龚雷萌[1] 陆信武[1] 

机构地区：[1]上海第二医科大学附属第九人民医院超声诊断科

出　　处：《中国超声医学杂志》1999年第4期287-289,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的：检测下肢静脉溃疡的血流动力学并探讨其临床价值。方法：应用彩色多普勒血流显像（ＣＤＦＩ）或彩色能量图（ＣＰＡ）对我住院患者４３例４８肢５９个静脉溃疡进行血流动力学检测。结果：浅静脉返流（９６％）在静脉溃疡形成及发展中有直接作用，静脉溃疡周围的交通支返流（５８％）有一定的影响，但深静脉返流（５６％）特别有静脉返流也必须重视，约３１％的静脉溃疡有联合形式的静脉血流动力学异常。在行浅静脉及交通支静脉手术的同时行深静脉重建术是非常必要的。结论：彩超能详细了解各静脉系统及其每个静脉段的血流动力学状况，不仅可提供静脉的解剖信息，且可提供其功能信息，目前已成为评价下肢静脉血流动力学的主要工具之一。Objective:Detecting the venous blood flow dynamics in patients with lower extremity ulceration.Methods:Fourty eight limbs(43 cases)with 59 venous ulcerations were detected with color Doppler flow imaging(CDFI)and color power angio(CPA).Results:Superficial venous reflux(96%)is directive result for ulceration.Perforator venous reflux(58%)in peripheral venous ulceration and deep venous reflux(56%)(popliteal venous)are important factors for ulcer formation.31% ulceration presented combining venous dynamic abnormalities.Deep venous reconstruction should be considered when superficial venous or perforator venous reflux are operated upon.Conclusion:CDFI is the important diagnosis method for detecting the blood flow dynamics of lower extremity suffered from ulceration.

关 键 词：下肢静脉溃疡 彩色多普勒 血流显像 血流动力学 

分 类 号：R543.604[医药卫生—心血管疾病] R445.1[医药卫生—内科学]