锁骨下动脉盗血综合征的彩色多普勒超声临床分析  

Clinical analysis of color Doppler ultrasound in coronary artery steal syndrome

作　　者：韩志钧[1] 闫伟[2] 杨晓娟[3] 

机构地区：[1]河北省保定市传染病医院功能科,河北保定071000 [2]河北省保定市妇幼保健院手术室,河北保定071000 [3]河北省保定市清苑区人民医院功能科,河北保定071100

出　　处：《中国医药导报》2015年第34期118-121,共4页China Medical Herald

摘　　要：目的分析锁骨下动脉盗血综合征的彩色多普勒超声。方法选取河北省保定市传染病医院2010年1月~2015年5月诊治的锁骨下动脉盗血综合征88例患者作为研究对象,其中锁骨下动脉轻度狭窄患者42例,中度狭窄患者21例,重度狭窄及闭塞患者25例。应用彩色多普勒超声观察锁骨下动脉盗血综合征患者锁骨下动脉狭窄程度及盗血程度,并分析锁骨下动脉狭窄程度与盗血程度的关系。结果经彩色多普勒超声共检出颅外段盗血患者87例,其中Ⅰ型盗血患者66例,Ⅱ型盗血患者19例,Ⅲ型盗血患者2例。经彩色多普勒超声共检出椎动脉盗血患者88例,其中Ⅰ型盗血患者63例,Ⅱ型盗血患者23例,Ⅲ型盗血患者2例。锁骨下动脉不同狭窄程度患者颅外段盗血情况、椎动脉盗血情况比较,差异有统计学意义（P〈0.05）。锁骨下动脉不同狭窄程度分别与颅外段盗血、椎动脉盗血有相关性（r=0.613、0.558）。结论锁骨下动脉狭窄程度越重,椎动脉盗血程度也越重。彩色多普勒超声可用于评价锁骨下动脉盗血综合征患者的锁骨下动脉狭窄程度。Objective To analyze color Doppler ultrasound result of coronary artery steal syndrome. Methods 88 patients with subclavian steal syndrome in Hospital of Infectious Disease in Baoding City of Hebei Province from January2010 to May 2015 were selected as study objects. 42 cases of patients were mild stenosis, 21 cases of patients were moderate stenosis, 25 cases of patients were severe stenosis and occlusion. The stenosis and steal degree in inferior clavicle artery of subclavian steal syndrome patients were observed by using color Doppler ultrasonography. The relationship between stenosis and steal degree in inferior clavicle artery was analyzed. Results 87 cases of patients with intracranial segment steal were detected by color Doppler ultrasonography. 66 cases of patients were type Ⅰ, 19 cases of patients were type Ⅱ, 2 cases of patients were type Ⅲ. 88 cases of patients with vertebral artery steal were detected by color Doppler ultrasonography. 63 cases of patients were type Ⅰ, 23 cases of patients were type Ⅱ, 2 cases of patients were type Ⅲ. Extracranial steal and vertebral artery steal in different stenosis degree of clavicle were compared, the differences were statistically significant（P〈0.05）. Different stenosis degree of clavicle was related with extracranial steal and vertebral artery steal respectively（r = 0.613, 0.558）. Conclusion The stenosis extent of clavicle is more severe, and vertebral artery steal degree is more serious. Color Doppler ultrasonography can be used to evaluate stenosis extent of clavicle in patients with subclavian steal syndrome.

关 键 词：彩色多普勒超声 锁骨下动脉盗血综合征 盗血程度 锁骨下动脉狭窄 

分 类 号：R445.1[医药卫生—影像医学与核医学]