颈部血管超声对锁骨下动脉盗血综合征的诊断价值  

Diagnostic Value of Cervical Vascular Ultrasound in Subclavian Steal Syndrome

作　　者：王蕊 王丽娜 赵孟佳 蔡慧敏 WANG Rui;WANG Lina;ZHAO Mengjia;CAI Huimin(Department of Neurophysiology,Kaifeng Central Hospital,Kaifeng,Henan 475000,China)

机构地区：[1]开封市中心医院神经电生理室,河南开封475000

出　　处：《生物医学工程学进展》2025年第1期31-36,共6页Progress in Biomedical Engineering

基　　金：河南省医学科技攻关计划项目(编号:LHGJ20200838)。

摘　　要：目的探讨颈部血管超声对锁骨下动脉盗血综合征(Subclavian Steal Syndrome,SSS)的诊断价值。方法选择开封市中心医院2021年1月至2023年12月收治的140例SSS患者资料进行回顾性分析,以数字减影血管造影(Digital Subtraction Angiography,DSA)作为金标准,分析颈部血管超声检查动脉血管狭窄程度的一致性、盗血分型情况、盗血途径。结果颈部血管超声检查与DSA检查判断锁骨下动脉血管狭窄程度的一致性较好;140例SSS患者中有120例(85.71%)锁骨下动脉起始位置可见硬化斑块,8例(5.71%)锁骨下动脉、无名动脉管腔内见中-低回声斑块,12例(8.57%)未见斑块形成;50例(35.71%)患侧椎动脉见完全出颅方向血流;114例(81.43%)椎动脉管腔出现红蓝交替双向血流;140例患者均存在健侧椎动脉向患侧椎动脉供血的情况,14例可见基底动脉向患侧椎动脉供血,18例可见患侧枕动脉向患侧椎动脉供血。结论颈部血管超声在SSS诊断中有较高的应用价值,适合推广。Objective To evaluate the value of cervical vascular ultrasound in the diagnosis of subclavian steal syndrome(SSS).Methods The data of 140 SSS patients admitted to our hospital from January 2021 to December 2023 were analyzed retrospectively.Taking Digital Subtraction Angiography(DSA)as the gold standard,the consistency of the degree of arterial stenosis,the classification of stolen blood and the ways of stealing blood were analyzed.Results Cervical vascular ultrasound and DSA were in good agreement in judging the degree of subclavian artery stenosis.Among 140 SSS patients,120 cases(85.72%)had sclerotic plaques at the beginning of subclavian artery.Block,8 cases(5.71%)of subclavian artery and innominate artery showed moderate echo plaque-low echo plaque,and 12(8.57%)of the patients had no plaque formation.In 50 cases(35.71%),complete cranial outflow direction blood flow was observed in the affected vertebral artery,and in 114 cases(81.43%),alternating red and blue bidirectional flow was observed in the vertebral artery lumen.In all 140 patients,the healthy vertebral artery supplied blood to the affected side,the basilar artery supplied blood to the affected vertebral artery in 14 cases and the affected occipital artery supplied blood to the affected vertebral artery in 18 cases.Conclusion Cervical vascular ultrasound has high application value in the diagnosis of SSS and is suitable for popularization.

关 键 词：颈部血管超声 数字减影血管造影 锁骨下动脉盗血综合征 诊断价值 

分 类 号：R445.1[医药卫生—影像医学与核医学]