超声在孤立性肠系膜上动脉夹层诊断中的应用  

Application of ultrasonography in the diagnosis of isolated superior mesenteric artery dissection

作　　者：牛宏珍[1] 勇强[1] 濮恬宁 郑超[1] 王瑶[1] 魏芸[1] NIU Hongzhen;YONG Qiang;PU Tianning;ZHENG Chao;WANG Yao;WEI Yun(Department of Ultrasound,Beijing Anzhen Hospital,Capital Medical University,Beijing Institute of Heart,Lung and Blood Vessel Diseases,Beijing 100029,China)

机构地区：[1]首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所综合超声科,100029

出　　处：《心肺血管病杂志》2022年第3期298-301,共4页Journal of Cardiovascular and Pulmonary Diseases

摘　　要：目的:探讨孤立性肠系膜上动脉夹层(ISMAD)的超声诊断价值。方法:回顾性分析27例经主动脉CTA确诊的ISMAD的超声表现。结果:27例ISMAD患者夹层起始位置距离SMA开口处1.40(0.00,2.00)cm,96.3%患者真腔位于背侧,3.7%患者真腔位于左侧,真腔直径狭窄率40%~90%;夹层处管径明显增宽,宽度(1.05±0.23)cm,夹层长度(7.25±2.27)cm,59.2%患者假腔内血栓形成(完全/不完全)。结论:彩色多普勒超声可以作为ISMAD诊断非常有价值的影像学检查方法。Objective:To investigate the value of ultrasonography in the diagnosis of isolated superior mesenteric artery dissection(ISMAD).Methods:27 cases of ISMAD diagnosed by CTA were analyzed retrospectively.Results:The starting position of dissection in 27 patients with ISMAD was 1.40(0.00,2.00)cm cm away from the opening of SMA.96.3%of the true patients’cavity was located on the dorsal side.3.7%of the true cavity was located on the left side of patient,and the stenosis rate of true cavity diameter was 40%-90%;the diameter of the dissection was significantly widened,with a width of(1.05±0.23)cm and a length of(7.25±2.27)cm.False lumen thrombosis(complete/incomplete)was found in 59.2%patients.Conclusions:Color Doppler ultrasound can be used as a valuable imaging method in the diagnosis of ISMAD.

关 键 词：孤立性肠系膜上动脉夹层 彩色多普勒超声 

分 类 号：R54[医药卫生—心血管疾病]