肠系膜上动脉压迫综合征彩色超声的诊断价值  

The Clinical Importance of Diagnosing Superior Mesenteric Artery Syndrome with Color Doppler Flow Imaging

作　　者：陆恩祥[1] 罗洪超[2] 邓宝忠[2] 林佩秋 赵伟华[4] 

机构地区：[1]辽宁中医学院附属医院电诊科,沈阳市110032 [2]辽宁中医学院附属医院放射科,沈阳市110032 [3]沈阳市第245医院 [4]沈阳市第四人民医院

出　　处：《中国超声医学杂志》2001年第6期442-444,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的 :探讨肠系膜上动脉压迫综合征彩色超声的诊断价值。方法 :应用彩色多普勒超声诊断的 36例肠系膜上动脉压迫综合征 ,均经放射线胃肠钡餐透视检查证实。结果 :本组超声显像诊断的符合率为 10 0 % ,肠系膜上动脉 (SMA)与腹主动脉 (AA)之间夹角及十二指肠通过段距离变小 ,饮水后其近端十二指肠扩张明显 ,左侧卧位时十二指肠潴留消失。结论 :CDFI对该病的诊断准确性高无损伤、实时。能同时显示肠管形态 。Objective:To discuss the clinical importance of diagnosing superior mesenteric artery syndrome with color Doppler flow imaging(CDFI).Methods:Thirty six patients with superior mesenteric artery syndrome were diagnosed with CDFI,confirmed by X ray barium meal fluoroscope.Results:The diagnostic accuracy of CDFI in this study was 100%.The angle between superior mesenteric artery(SMA)and abdominal aorta(AA)was decreased,and the distance between SMA and AA was shortened.The proximal part of duodenum expanded distinctively after having drucken water,and the retention of duodenum disappeared when patient lay on his left side.Conclusions:CDFI is a simple and repeatable method for diagnosing superior mesenteric artery syndrome with high accuracy and credibility,and is a real time and non invasive way.The shape of intestine and the position of blood vessel can be shown clearly simultaneouly with CDFI.

关 键 词：肠系膜上动脉压迫综合征 彩色多普勒血流图 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]