彩色多普勒超声对下肢动脉硬化闭塞症胫前动脉窃血的诊断价值

发布时间：2018-07-15 11:58

【摘要】：目的探讨彩色多普勒超声对下肢动脉硬化闭塞症(ASO)胫前动脉窃血的诊断价值。方法选取伴有胫前动脉窃血的ASO患者30例(病例组),同期健康志愿者30例(对照组),超声检测双侧胫前动脉、内踝前动脉、外踝前动脉、内踝后动脉、外踝后动脉。记录各动脉内径、血流方向、峰值流速。结果 30例48条胫前动脉窃血患者中,同侧内踝前动脉、外踝前动脉均逆流共43条,内踝前动脉逆流3条,外踝前动脉逆流2条。病例组内踝前动脉、外踝前动脉、内踝后动脉、外踝后动脉管腔较对照组增宽,流速增高,差异有统计学意义(P0.05,P0.01)。结论彩色多普勒超声能够准确地判断胫前动脉窃血患者的内外踝动脉网血流动力学变化情况,为临床选择治疗方案提供参考依据。
[Abstract]:Objective to evaluate the diagnostic value of color Doppler ultrasonography in the steal of anterior tibial artery in patients with lower extremity arteriosclerosis obliterans (ASO). Methods 30 ASO patients (case group) and 30 healthy volunteers (control group) were selected. Bilateral anterior tibial artery, anterior medial malleolar artery, anterior lateral malleolar artery, posterior medial malleolar artery and posterior lateral malleolar artery were detected by ultrasound. Artery diameter, blood flow direction and peak velocity were recorded. Results in 30 patients with 48 anterior tibial arteries, the ipsilateral anterior malleolus artery, lateral anterior malleolar artery and lateral anterior malleolus artery were all countercurrent in 43, medial anterior malleolar artery in 3 and lateral anterior malleolus artery in 2. The lumen of medial anterior malleolar artery, lateral anterior malleolar artery, posterior medial malleolar artery and posterior lateral malleolus artery in the case group were wider than those in the control group, and the flow velocity was increased (P0.05, P0.01). Conclusion Color Doppler ultrasound can accurately judge the hemodynamic changes of medial and lateral malleolar artery network in patients with anterior tibial artery theft and provide reference for clinical treatment.
【作者单位】：山东大学齐鲁医院超声科;莱芜钢铁集团有限公司医院特检科;
【分类号】：R445.1;R543.5

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