高频彩色多普勒结合经胸心脏探头检查在锁骨下动脉盗血综合.docVIP

高频彩色多普勒结合经胸心脏探头检查在锁骨下动脉盗血综合征的诊断价值 任玉菊 杨恒 赵茜 作者单位：222000 连云港市第二人民医院超声科 【摘要】目的 探讨高频彩超联合心脏探头检查在锁骨下动脉盗血综合征的诊断价值。方法 选择2011年1月～2016年1月我院收治的80例疑似锁骨下动脉盗血患者为研究对象，所有患者依次进行高频彩超及经胸心脏探头检查，对可疑患者均进行束臂试验检查。结果 80例患者进行束臂试验检查后确诊锁骨下动脉盗血者62例。经10L探头超声诊断锁骨下动脉盗血诊断符合率87.1%（54/62），联合M4S心脏探头检查后，诊断符合率98.4%（61/62），二者比较差异有统计学意义（(2=4.313，P=0.038）。根据Ⅰ、Ⅱ、Ⅲ级盗血诊断标准，Ⅰ级盗血8例，Ⅱ级盗血20例，Ⅲ级盗血34例。10L探头对Ⅰ级盗血诊断符合率25.0%（2/8），显著低于10L+M4S探头对Ⅰ级盗血诊断符合率87.5%（7/8），差异有统计学意义（P=0.041）。Ⅱ级及Ⅲ级盗血诊断符合率比较，差异无统计学意义（P0.05）。结论 高频彩超联合经胸心脏探头超声检查，可提高对锁骨下动脉盗血综合征诊断率，减少漏诊。 【关键词】锁骨下动脉盗血综合征；彩超；经胸心脏彩超 Diagnostic value of the union between Color Doppler Flow Imaging and transthoracic cardiac probe on Subclavian steal syndrome Ren-Yuju The second peoples Hospital of Lianyungang City, Department of ultrasound 222000 【Abstract】 Objective To investigate the diagnostic value of the union between Color Doppler Flow Imaging (CDFI) and transthoracic cardiac probe (M4S) on Subclavian steal syndrome (SSS). Methods The CDFI and M4S were performed in 80suspected patients in turn. Results CDFI detection showed that Subclavian steal syndrome were 54 cases (showed that I period steal was 2 cases ; II period steal was 18cases; III period steal was 34cases), after underwent additional with M4S for arteriae subclavia and innominate artery, there were 60 cases diagnosed as Subclavian steal syndrome(I period steal was6 cases; II period steal was 20cases;III period steal was34 cases). All of the suspected patients were proved to be subclavian artery steal by brachial artery test .Conclusions The union between Color Doppler Flow Imaging (CDFI) and transthoracic cardiac probe (M4S) can complement each other and can reduce the erroneous diagnosis or missed diagnosis. 【Key words】 Subclavian steal syndrome; Color Doppler Flow Imaging ; transthoracic cardiac probe 锁骨下动脉盗血（Subclavian Steal Syndrome，SSS）指各种原因引起的锁骨下动脉近端或无名动脉阻塞，使锁骨下动脉远端管腔内压力下降，患侧血压低于椎基底动脉压力时均可造成锁骨下动脉盗血，压力降至一定水平后会引发椎基底动脉供血不足[1]，主要表现为头痛、眩晕、耳鸣、视物模糊、共济失调等，还可表现为患侧肢体乏力、脉弱、无脉等上肢缺血症状，早期准确及时诊断该病可为患者进一步诊断