彩色多普勒超声诊断肩手综合征Ⅰ期的应用价值

发布时间：2018-03-25 23:04

本文选题：彩色多普勒超声　切入点：肩手综合征　出处：《中国超声医学杂志》2017年09期

【摘要】：目的探讨彩超诊断脑卒中后合并肩手综合征患者上肢血管的声像图特点及临床价值。方法选取25例脑卒中后合并肩手综合征I期患者作为观察组,并取12例脑卒中后未出现并发症的患者作为对照组,应用彩超观察双侧上肢静脉管腔形态、管壁回声、管腔内血流速度及频谱多普勒情况。结果脑卒中后合并肩手综合征I期患者上肢血管的声像图清晰、典型,彩超能检测出患肢静脉管腔增宽者92%(23/25)、血流速度减低者96%(24/25)、管壁增厚者92%(23/25)、血流频谱平直者84%(21/25),同时发现静脉内出现烟雾影者12%(3/25)、淋巴结单侧性增大者24%(6/25)。结论超声检查是肩手综合征诊断的重要方法,对肩手综合征早期诊断和采取治疗具有重要意义。
[Abstract]:Objective to investigate the sonographic characteristics and clinical value of color Doppler ultrasonography in the diagnosis of upper limb vessels in patients with shoulder hand syndrome after stroke. Methods 25 patients with shoulder hand syndrome after stroke were selected as the observation group. Twelve patients with no complications after stroke were taken as control group. The shape and echo of bilateral upper limb venous lumen were observed by color Doppler ultrasound. Results Ultrasound images of upper limb vessels in patients with stage I shoulder hand syndrome after stroke were clear and typical. Color Doppler ultrasound could detect 922 / 25 / 25 thickening of venous lumen, 96 / 24 / 25 / 25 of decreased blood flow velocity, 922 / 23 / 25 / 25 of thickening of the wall, 84 / 21 / 25 / 25 of the blood flow spectrum, and 12 / 35 / 25 / 25 of smog shadow and 2466 / 25 / 25 of lymph node enlargement in the vein. Conclusion Ultrasonography is a shoulder ultrasonic examination of the patients with unilateral enlargement of the lymph node. An important method for the diagnosis of hand syndrome, It is of great significance for early diagnosis and treatment of shoulder-hand syndrome.
【作者单位】：广西壮族自治区职业病防治研究院超声科;广西江滨医院康复治疗科;
【基金】：广西壮族自治区科学技术厅自然科学基金项目(No.2014GXNSFAA251001)
【分类号】：R445.1;R743.3

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