彩色多普勒超声诊断永存坐骨静脉的价值  

Diagnostic value of color Doppler ultrasonography in the persistent sciatic vein

作　　者：郑苑俊 宫淑 孔燕茹 马艳艳[1] 孙亚男 亓恒涛 Zheng Yuanjun;Gong Shu;Kong Yanru;Ma Yanyan;Sun Yanan;Qi Hengtao(Department of Cardiovascular Ultrasound,the Second Hospital of Shandong University,Jinan 250033,China)

机构地区：[1]山东大学第二医院心血管特检科,济南250033 [2]山东第一医科大学附属省立医院超声医学科,济南250021

出　　处：《中华超声影像学杂志》2022年第10期885-888,共4页Chinese Journal of Ultrasonography

基　　金：山东省重点研发计划(2019GSF108271)。

摘　　要：目的探讨彩色多普勒超声对永存坐骨静脉的诊断价值。方法回顾性分析2010年5月至2021年12月于山东大学第二医院及山东第一医科大学附属省立医院就诊并经彩色多普勒超声诊断为永存坐骨静脉的17例患者,总结其声像图特征并进行分型。结果坐骨静脉声像图表现为大腿后方紧邻坐骨神经的静脉血管;根据解剖位置不同,分为完全型、上段型和下段型,其中完全型7例,上段型2例,下段型8例。11例患者存在股静脉发育不良。除1例双侧永存坐骨静脉外,16例患侧股静脉内径为(0.36±0.19)cm,健侧相应位置股静脉内径为(0.61±0.11)cm,两者之间差异有统计学意义(P<0.001)。结论彩色多普勒超声是诊断永存坐骨静脉有价值的影像学方法。Objective To study the clinical value of color Doppler ultrasonography in the diagnosis of persistent sciatic vein(PSV).Methods A retrospective study was performed on 17 patients who were diagnosed with PSV by color Doppler ultrasound in the Second Hospital of Shandong University and the Shandong Provincial Hospital Affiliated to Shandong First Medical University from May 2010 to December 2021.Their sonographic features were analyzed,summarized and classified.Results In all the 17 cases,the sciatic vein showed a vein adjacent to the sciatic nerve in the pelvis or back of the thigh.According to anatomy,persistent sciatic vein could be divided into three types:complete PSV,upper PSV and lower PSV.There were 7 cases of complete PSV,2 cases of upper PSV and 8 cases of lower PSV.Femoral vein dysplasia was found in 11 of 17 patients with PSV.In addition to 1 case of bilateral PSV,the diameter of the femoral vein on the affected side was(0.36±0.19)cm in 16 cases,and the diameter of femoral vein at the corresponding position on the healthy side was(0.61±0.11)cm,there was significant difference between the two groups(P<0.001).Conclusions Color Doppler ultrasonography is the effective imaging method for diagnosis of the PSV.

关 键 词：超声检查 坐骨静脉 股静脉 

分 类 号：R445.1[医药卫生—影像医学与核医学] R543.6[医药卫生—诊断学]