超高频彩色多普勒超声在诊断血栓性闭塞性脉管炎中的临床应用价值  

The clinical application value of superhigh frequency color Doppler ultrasonography in the diagnosis of thromboangitis obsterans

作　　者：贾洪波 张先东[2] 王铁铮[2] JIA Hongbo;ZHANG Xiandong;WANG Tiezheng(Department of Ultrasonography, The Shizhong District People’s Hospital of Jinan, Jinan 250001, P.R.China;Department of Ultrasonography, Shangdong Medical Imaging Research Institute Affiliated to Shangdong University, Jinan 250021, P.R.China)

机构地区：[1]济南市市中区人民医院特检科,山东济南250001 [2]山东大学附属山东省医学影像学研究所超声诊断研究室,山东济南250021

出　　处：《医学影像学杂志》2020年第3期482-485,共4页Journal of Medical Imaging

摘　　要：目的探讨超高频彩色多普勒超声在四肢动脉血栓性闭塞性脉管炎诊断中的应用价值。方法209例中共检出受累血管405条,受累动脉血管均行超高频探头进行二维,彩色多普勒血流显像及脉冲多普勒超声检查,记录病变血管前、后段血管收缩期最大流速。21例行动脉血管CTA检查。结果超高频彩色多普勒超声能够清晰的显示受累动脉血管壁改变,血管腔内血栓形成、血栓再管化的程度及正常血管与病变血管移行区。结论超高频彩色多普勒超声在诊断血栓性闭塞性脉管炎中具有极高的灵敏性和特异性,是诊断血栓性闭塞性脉管炎的首选办法。Objective To discuss the clinical application value of superhigh frequency ultrasonography in the diagnosis of thromboangitis obsterans(BUERGER'S diasease or TAO).Methods There were 209 cases including 405 damaged extremities vessels examined by superhigh frequency probe in two-dimemsional,color Doppler flow imaging and pulsed Doppler technique,and the peak systolic velocity of the pro-and postpathological vescular segment were recorded.21 cases including 42 damaged vessels were detatched by vascular CTA.Results The changes of the pathological arterial walls,the thrombosis in the arteries,the recannalization degree of the thrombosis,the skip area between the pathological arterial segment and normal arteries can be revealed by superahigh frequency ultrsonograghy clearly.Conclusion The superhigh frequency color Doppler ultrasonography had high diagnostic rate and high sensitivity,and it is the first chioce of examination method in the diagnosis of TAO clinically.Key words superhigh frequency,ultrasonography,Thromboangitis obsterans.

关 键 词：血栓性闭塞性脉管炎 超声检查 

分 类 号：R445.1[医药卫生—影像医学与核医学] R543[医药卫生—诊断学]