高频超声对下肢深静脉血栓及伴行动脉的血流观察.DOCVIP

临床医学论文-高频超声对下肢深静脉血栓及伴行动脉的血流观察 【摘要】??? 目的? 研究下肢静脉血栓及伴行动脉的血管结构及血流特点。? 方法? 应用高频超声技术，对32例确诊的下肢深静脉血栓患者进行两侧下肢深静脉及伴行动脉的血管结构及血流参数测定，并进行对照分析。结果? 患肢股、腘静脉内径明显较健侧增宽（P0.01～0.05）；患肢动脉主波血流速度明显较健侧增快（P0.05），而两侧的逆向小波血流速度差异无显著性（P0.05）。结论? 下肢深静脉血栓患者患肢动脉血流速度明显增快，是深静脉血栓所引起的机体病理改变，也是超声诊断下肢深静脉血栓的间接征象。 ??? 【关键词】? 高频超声；下肢深静脉；血流参数 ???? The blood-flow observation of thrombosis of deep veins of lower limb and companion arterial by the high-frequency ultrasound?? ??? 【Abstract】??? Objective? To study and research the blood vessel structure and blood flow characteristics of venous thrombosis of deep veins of lower limb and companion artery.Methods?? High-frequency ultrasoundwas used into the determinations and comparedof the blood vessel structure and blood flow parameters of venous of deep veins of lower limb and companion artery for 300 thrombosis of the same sites.Results? The hore of affected extremity of femoral artery and popliteal artery was significantly wider than the uninjured side(P0.001～0.05).The flow rate of affected extremity of artery was significantly fasterthan the uninjured side(P0.05).?Conclusion?The blood flow rate was significantly faster for affected extremity of artery with venous thrombosis of deep veins of lower limb?was pathologic change. Also it was indirect sign of thrombosis in deep veins of lower limb with ultrasonic diagnosis. ??? 【Key words】? high frequency ultrasound;deep veins of lower limb;blood flow parameters ??? 以往，对下肢深静脉血栓的超声检测，多注重于静脉的病变观察，而对其伴行动脉的观察少见报道［1，2］。笔者应用高频超声技术，对32例已确诊下肢深静脉血栓患者两侧下肢深静脉及伴行动脉的血管结构及血流参数进行对照分析，研究其血流特点，力图为临床提供有价值的诊断依据，现报道如下。 ??? 1? 资料与方法 ??? 1.1? 一般资料? 住院病人32例，其中男19例，女13例，年龄24～75岁，平均54.72±6.51岁。就诊时间多在3～14天，共计38根病变血管，均经血管造影证实。 ??? 1.2? 仪器和方法? 应用美国HP-2500型彩色多普勒超声诊断仪。探头频率为5.0～7.5MHz,采样容积3～5mm，θ角小于60°。二维超声检测血管结构变化特点，频谱多普勒量化检测血流状况，彩色多普勒观察血流性质、方向及充盈情况。 ??? 1.3? 检测内容? 双侧股腘动、静脉的血管内径、内膜厚度、血栓范围及回声、血流速度。 ??? 1.4? 统计学分析? 所有数据均采用SPSS11.0软件进行统计分析。各测值数据以均数±标准差表示，组间比较采用t检验，P0.05为差异有显著性。 ??? 2? 结果 ??? 2.1? 下肢深静脉血栓堵塞及分布情况? 血栓堵塞情况：完全性堵塞27根，其中股静脉（FV）13根