彩色多普勒超声对于下肢动脉硬化性闭塞症的诊断价值.pdfVIP

论 著 CHINAFOREIGNMEDICAL 彩色多普勒超声对于下肢动脉硬化性闭塞症的诊断价值 金泽宏 (湖南省娄底市中心医院超声科 湖南娄底 417000) 【摘要】目的 探讨彩色多普勒超声对于下肢动脉硬化性闭塞症的诊断价值 。方法 回顾性地分析 了56例下肢动脉硬化性闭塞症病 例的二维超声图像及彩色多普勒血流显像改变，检测下肢动脉管壁，管径，内膜 以及有无斑块，彩色血流变化、血流多普勒形态及性质。 结果 超声图像上表现为病变血管内中膜呈不规则增厚，局部可见斑块显示 ，其中12例合并管腔 内径明显狭窄或闭塞。彩色多普勒显 ／ 像显示血流柬变细或无血流信号，脉冲多普勒显示为二相波形或单相波形或无多普勒频谱。结论 彩色多普勒对于下肢动脉硬化性闭 塞症的诊断具有很 高的灵敏性及准确性 。 【关键词 】彩色多普勒 下肢动脉 动脉硬化性 闭塞 【中图分类号】R445 【文献标识码】A 【文章编号】1674--0742(20lo)ol(b)--0O19--02 Colored DopplerSupersonic Regarding LowerLimb Artery Hardenability Unenlightened ScknessDiagnosisValue IAbstract1Objective DiscussescoloredDopplersupersonicregardingthelowerlimbarteryhardenabilityunenljghtenedsickness diagnosisvalue．Methods The review hasanalyzed 56 example lower limb artery hardenability unenlightened sicknesscase’stw0一 dimensionalsupersonicimage and thecolored Dopplerblood stream developing change Examination lower limb arterypipewall，caliber， internalmembraneaswellaswhether there ismottling，colored blood stream change，blood stream Dopplershape and nature．Results On the supersonic image displays for the pathologicalchange blood vesselin the tunica media vasorum assumes the anomalous accumulation， the partial obvious mottling demonstrated that 12 example merge lumen inside diameter obvious narrow or unenlightened． The colored Doppler video picture blood striation thinning either the non--blood stream signal， pulse Doppler demonstratesforthe twophase profileorthe single--phase profileorthe infinite Pullerfrequencyspectrum．Conclusion ColoredDoppler hastheveryhigh sensitivityand theaccuracyregardingthelowerlimb arteryhardenabilityunen1ightenedsicknessdiagnosis． 【Key WordslColored Doppler；Lowerlimbartery；The artery hardenability isunenlightente． 下肢动