超声血流图肢体IPC效果的评估.pdfVIP

超声血流图肢体IPC 效果的评估 SPATIAL-TEMPORAL DISPLAY OF COLOUR-FLOW ULTRASOUND FOR THE ASSESSMENT OF THE EFFECTS OF INTERMITTENT PNEUMATIC COMPRESSION IN LIMBS RHYS J. MORRIS,* NElL D. PUGH,* DECLAN P. COLEMAN and JOHN P. WOODCOCK* *Department of Medical Physics and Bioengineering, University of Wales College of Medicine, Cardiff, Wales, UK; and +Department of Medical Physics and Clinical Engineering, University Hospital of Wales, Cardiff, Wales, UK (Received 10 April 2003; revised 2 July 2003; in final form 22 July 2003) Abstract--Colour-flow M-mode ultrasonography in three dimensions (two spatial, one temporal) was used to assess the effects of intermittent pneumatic compression on the blood flow velocities in the common femoral vein and artery. The linear array of a standard 3-D system was held in place over the vessels, to record while a calf and thigh cuff compressed to 60 mmHg. The data was reconstructed in 3-D and, subsequently, sliced in different planes. The technique effectively demonstrated the emptying of distal veins during compression, and hyperaemia in the artery on deflation, in the coronal and sagittal planes. Reconstructions of this type may be of use in visualising the distribution of flow changes within blood vessels. (E-mail: morrisrj@cLac.uk) 2003 World Federation for Ultrasound in Medicine Biology. Key Words: Three-dimensional, Colour flow, M-mode, Doppler, Ultrasound, Intermittent compression, Deep vein thronbosis, Hyperaemia. INTRODUCTION AND LITERATURE Intermittent pneumatic compression of the lower limbs is a widespread and effective method of mechanical prophylaxis for deep vein thromb