无椎动脉反流的锁骨下动脉窃血综合征的彩色多普勒超声表现分析  

Analysis of Subclavian Steal Syndrome Companied with Stenosis or Occlusion of Multi-Arteries in Neck by Color Doppler Ultrasonography

作　　者：田津[1] 李治安[1] 勇强[1] 路彤[1] 赵青[1] 孙慧[1] 崔复霞[1] 

机构地区：[1]首都医科大学附属北京安贞医院超声诊断科,北京100029

出　　处：《中国医学影像技术》2002年第10期989-991,共3页Chinese Journal of Medical Imaging Technology

摘　　要：目的　分析锁骨下动脉窃血综合征 (SSS)的病因 ,血流动力学改变 ,超声表现以及合并其他颈部血管严重病变时的血流动力学改变及其与窃血的关系。方法　分析本院经超声检查并经临床确诊锁骨下动脉或无名动脉起始段重度狭窄或闭塞的患者 49例。结果　锁骨下动脉窃血综合征主要由动脉粥样硬化和多发性大动脉炎所致。结论　当锁骨下动脉或无名动脉起始段病变 ,合并颈部其他血管严重病变时 ,不应单纯依靠椎动脉的血流方向来估测同侧锁骨下动脉或无名动脉的狭窄情况。Objective To analyze the causes of subclavian steal syndrome,hemodynamics and the relation to the reversal of blood flow in the ipsilateral vertebral artery and multi arteries in neck. Methods Forty nine patients diagnosed as subclavian steal syndrome by clinic were examined by color Doppler ultrasound. Results The main causes of subclavian steal syndrome were atherosclerosis and aortoarteritis. Conclusion When patients with subclavian steal syndrome companied with stenosis or occlusion of other carotid arteries,we can't estimate the degree of stenosis of proximal subclavian artery or innominate artery depending only on the flow of vertebral artery.

关 键 词：无椎动脉反流 彩色多普勒超声 锁骨下动脉窃血综合征 超声检查 SSS 病因 血流动力学 

分 类 号：R543.5[医药卫生—心血管疾病] R445.[医药卫生—内科学]