彩色多普勒超声在上肢动脉阻塞性疾病中的应用价值  

Study on ultrasonic diagnosis of upper limb artery obstructive diseases

作　　者：赵仁军[1] 刘英 杨加惠 刘康[3] 杨林[3] 

机构地区：[1]延安大学咸阳医院超声诊断科,陕西咸阳712000 [2]眉山心脑血管病医院超声诊断科,四川眉山620010 [3]川北医学院附属医院,四川南充637000

出　　处：《川北医学院学报》2015年第5期690-693,共4页Journal of North Sichuan Medical College

基　　金：四川省卫生厅项目(090138)

摘　　要：目的：探讨彩色多普勒超声对上肢动脉阻塞性疾病的诊断价值。方法：对68例临床可疑上肢动脉异常患者进行彩色多普勒超声检查,检查部位包括：椎动脉（VA）、无名动脉（INA）、锁骨下动脉（SA）、腋动脉（AXA）、肱动脉（BA）、尺动脉（UA）及桡动脉（RA）。结果：超声显示患侧BA阻塞性血流频谱46例。锁骨下动脉综合征（SSS）23例,其中部分型窃血12例,完全型窃血20例。SA近段病变39例（左侧24例,右侧11例,双侧4例）,其中狭窄率70%～99%21例,闭塞18例（伴双侧CCA全程狭窄2例,闭塞1例;伴同侧VA闭塞2例;伴对侧VA闭塞1例）。SA远段病变3例,其中狭窄率70%～99%2例,闭塞1例。AXA病变4例,其中狭窄率70%～99%3例,闭塞1例。68例中,39例行DSA检查,结果在病变部位、病变程度均与彩色多普勒超声检查结果一致。结论：彩色多普勒超声可明确判断上肢动脉阻塞性疾病的病变部位及程度,为临床诊断及治疗方法的选择提供了重要依据。Objective： To evaluate the value of ultrasound in the diagnosis of upper limb arterial obstructive diseases. Methods：Color Doppler ultrasound was performed in 68 suspected patients with upper limb arterial obstructive diseases,and the data were analyzed. Results： There were 68 cases with ipsilateral BA blocking blood flow spectrum,32 cases with subclavian steal syndrome（ SSS）performance（ partial pattern 12 cases,complete pattern 40 cases）. Subclavian artery,SA proximal lesions were detected in 39 cases（ left 24,right 11,bilateral 4）,SA distal lesions were detected in 3 cases,and arteria axillaris lesion were detected in 4 cases. The results of DSA examination of 39 cases in the degree of lesions were consistent with the results of ultrasound examination. Conclusion：Color Doppler ultrasound can clearly determine the location and extent of lesions of upper limb arterial obstructive diseases and provide an important basis for clinical diagnosis and treatment options.

关 键 词：上肢动脉阻塞 超声 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]