彩色多普勒超声在合并动脉硬化的下肢动脉栓塞Fogarty导管取栓术中的临床价值  

Clinical Application of Color Doppler Ultrasound in Lower Limb Arterial Embolism with Arteriosclerosis Undergoing Fogarty Balloon Catheter Embolectomy

作　　者：黄崑[1] 周鑫竹[2] 梁松年[3] 赵一[3] 郭荣利[2] 

机构地区：[1]中国医科大学附属第一医院超声科,沈阳110001 [2]中国医科大学附属第一医院急诊科,沈阳110001 [3]中国医科大学附属第一医院放射科,沈阳110001

出　　处：《中国医科大学学报》2012年第5期471-473,共3页Journal of China Medical University

摘　　要：目的通过分析下肢动脉硬化在彩色多普勒超声(CDUS)中的分度表现,研究其在合并下肢动脉栓塞时行Fogarty导管取栓术过程中的临床价值。方法在行Fogarty导管取栓术之前,对89例下肢动脉栓塞合并下肢动脉硬化的患者行CDUS检查,明确其下肢动脉硬化的程度。以下肢动脉硬化程度为依据,将患者分为重度动脉硬化组(n=37)和非重度动脉硬化组(n=52)。对每组患者的治疗效果进行随访并进行对照研究。结果重度动脉硬化组治愈16例,治愈率43.24%,非重度动脉硬化组治愈45例,治愈率86.54%,2组数据进行χ2检验,差异有统计学意义(P<0.05)。结论对合并动脉硬化的下肢动脉栓塞患者进行动脉硬化的分度有助于下肢动脉栓塞的诊治。Objective By the division of lower limb arteriosclerosis in the color doppler ultrasound,we explored its clinical value of diagnosing and curing arterial embolism.Methods Eighty nine patients with lower limb arterial embolism complicated with arteriosclerosis were divided into severe arteriosclerosis group（n =37） and non-severe arteriosclerosis group（n =52） according to the severity of arteriosclerosis.The therapeutic effects of each group were analyzed.Results Sixteen cases in severe arteriosclerosis group were cured with the cure rate of 43.24% while 45 cases in non-severe arteriosclerosis group were cured with the cure rate of 86.54%.A statistically significant difference was noted between the two groups（P 〈0.05）.Conclusion The division of arteriosclerosis in the color doppler ultrasound is beneficial to the diagnosis and treatment of lower limb arterial embolism.

关 键 词：动脉硬化 彩色多普勒超声 分度 动脉栓塞 FOGARTY导管取栓术 

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