腘动脉外膜囊肿的彩色多普勒超声诊断价值探讨  

Value of color Doppler ultrasonography in diagnosing cystic adventitial disease of the popliteal artery

作　　者：包守刚[1] 王铁铮[1] 亓恒涛[1] 孔祥骞[2] 张精勇[2] 牟晓飞[1] 张先东[1] 滕剑波[1] BaoShougang;Wang Tiezheng;Qi Hengtao;Kong Xiangqian;Zhang Jingyong;Mu Xiaofei;Zhang Xiandong;Teng Jianbo(Department of Ultrasound,Shandong Medical Imaging Research Institute,Jinan 250021,China)

机构地区：[1]山东省医学影像学研究所超声室,济南250021 [2]山东大学附属省立医院血管外科

出　　处：《中华超声影像学杂志》2018年第11期991-994,共4页Chinese Journal of Ultrasonography

基　　金：山东省医药卫生科技发展计划项目(2015WS0185,2017WS609).

摘　　要：目的探讨彩色多普勒超声在诊断腘动脉外膜囊肿中的价值。方法对经外科手术病理证实的12例腘动脉外膜囊肿的声像图进行回顾性分析,总结其声像图特征。结果彩色多普勒超声可清楚显示腘动脉外膜囊肿的位置、大小、形态以及腘动脉受压情况,其声像图表现为腘动脉外膜与中膜分离,内测及囊性包块,部分包块内可测及纤细分隔,内元血流信号显示,腘动脉受压时表现为腘动脉管腔变窄,内血流速度增快。患侧腘动脉内径小于健侧[(2.858±1.256)mm对(5.50O±0.095)mm,t=7.531,P<O.01],峰值流速高于健侧[(213.750±119.464)cm/s对(57.417±4.209)cm/s,t=4.465,P<O.01],患侧胫后动脉峰值流速小于健侧[(32.417±14.569)cm/s对(47.250±4.115)cm/s,t=4.318,P<0.01]。结论彩色多普勒超声是诊断腘动脉外膜囊肿首选的影像学检查方法。Objective To evaluate the value of color Doppler ultrasonography in diagnosing cystic adventitial disease of the popliteal artery.Methods The ultrasonographic images of 12 patients with cystic adventitial disease of the popliteal artery confirmed by surgery and pathology were retrospectivly analyzed. The ultrasonographic features were summarized.Results The ultrasonographic images showed the location,number,size and the compression of popliteal artery.Cystic adventitial disease of the popliteal artery showed cystic masses within popliteal artery wall.The tunica media and tunica externa were separated.Slender separations could be found in some cysts.Color Doppler ultrasonography showed no blood flow inside the cysts.When the popliteal artery was compressed,the velocity of blood flow increased significantly.The affected popliteal artery diameter was less than that of the contralateral side [(2.858±1.256)mm vs (5.500±0.095)mm,t =7.531,P<0.01],the peak flow velocity of the affected popliteal artery was higher than that of the contralateral side [(213.750±119.464)cm/s vs (57.417±4.209)cm/s, t =4.465,P<0.01],the peak flow velocity of the affected posterior tibial artery was lower than that of the contralateral side [(32.417±14.569)cm/s vs (47.250±4.115)cm/s,t =4.318,P<0.017.Conclusions Color Doppler ultrasonography is the preferred imaging method for diagnosis of cystic adventitial disease of the popliteal artery.

关 键 词：超声检查 多普勒 彩色 腘动脉 囊肿 

分 类 号：R445.1[医药卫生—影像医学与核医学]