彩色多普勒超声在腘动脉陷迫综合征中的应用  

Color Doppler ultrasound in diagnosis of popliteal artery entrapment syndrome

作　　者：李新平[1] 白志勇[1] 李敬府[1] 杨玉杰[1] 张龙[2] 张华斌[1] 

机构地区：[1]北京大学第三医院超声诊断科,北京100191 [2]北京大学第三医院介入与血管外科,北京100191

出　　处：《中国医学影像技术》2011年第10期2026-2029,共4页Chinese Journal of Medical Imaging Technology

摘　　要：目的探讨彩色多普勒超声(CDU)在腘动脉陷迫综合征(PAES)诊断中的价值。方法采用CDU评估14例拟接受手术治疗PAES患者的双下肢动脉,并与手术和动脉造影对比分析。结果 80.00%(16/20)患者的患侧动脉CDU可见内-中膜增厚、管腔狭窄和闭塞。抗阻跖曲诱发试验可见腘动脉管腔受压变窄或闭合、血流纤细伴速度明显升高或血流中断、受压远端血流速度减低。结论 CDU及其诱发试验有助于诊断PAES。Objective To observe the diagnostic value of color Doppler ultrasound（CDU） in popliteal artery entrapment syndrome（PAES）.Methods Totally 14 patients with PAES were included.Lower extremity arteries of those patients were scanned with CDU.Ultrasonographic results were compared with DSA or surgery findings.Results Intima-media thicken,stenosis and occlusion were found in 80.00%（16/20） patients＇ popliteal arteries.During active plantar flexion provocation maneuvers,compressed popliteal artery could be found with lumen reducing,obstructing or flow velocity increasing by CDU,along with flow decreasing in the distal end.Conclusion CDU and provocation maneuvers are useful in diagnosis of PAES.

关 键 词：腘动脉陷迫综合征 超声检查 诱发试验 

分 类 号：R543.5[医药卫生—心血管疾病] R445.1[医药卫生—内科学]