彩色多普勒超声诊断内脏动脉瘤的临床价值

发表时间：2014-06-30 浏览次数：732次

引用：

王贤明,张文君,贺祎等.彩色多普勒超声诊断内脏动脉瘤的临床价值[J].临床误诊误治, 2013, 26(3).58-60

关键词：

超声检查,多普勒,彩色动脉瘤内脏

作者：

王贤明,张文君,贺祎,刘超

作者单位：

(湖北医药学院附属太和医院CT室,湖北十堰,442000)

出版年份：

2013

期刊页数：

58-60

收录者：

知网,万方

摘要：

目的探讨彩色多普勒超声(彩超)诊断内脏动脉瘤的临床价值.方法应用彩超对腹痛及高血压患者进行内脏动脉筛查,彩超检出动脉瘤者行CT血管造影(CTA)、数字减影血管造影(DSA)检查进一步证实诊断.结果本组彩超检出内脏动脉瘤15例,其中脾动脉瘤6例,腹腔干动脉瘤4例,肠系膜上动脉瘤3例,肾动脉瘤2例.彩超声像图特征为内脏动脉走行上出现瘤样结构,瘤体内为红蓝交替的漩涡状动脉血流信号,部分瘤体合并血栓、瘤壁钙化及瘤后狭窄.15例均经CTA检查证实诊断,3例经DSA检查再次证实诊断.结论彩超能够准确反映瘤体部位、大小和血流动力学特征,对内脏动脉瘤有较高的诊断价值. Abstract一Objective (VAA).Methods Visceral with aneurysm were confirmed total of 15 patients with VAA To explore the value of color dopplex of patients with abdominal pain (law imaging(CDFI) in diagnosis of visceral artery aneurysm artery and hypertension 、、ere detected by CDFI with diagnosis by CT Angiog,-aphy(CTA) and digital subtraction angiography ，and all the patients (DSA ).Results A were detected by sononraphy; 6 patients with splenic artery aneurysm , 4 patients with celiac trunk an- eurysm，3 patients with superior mesenteric artery aneurysm，and 2 patients with renal artexy" aneurysm. The sonogram showed aneu- rysmal structure Located at visceral artery, and red-blue alternans whirlpool arterial flow signal in the aneurysm，and some aneurysms were complicated with thrombus，wall calcification and post-aneurysm stenosis. 15 patients were confirmed by C'，and 3 patients were confirmed by DSA once again of the Conclusion CDF'I has significant value in diagnosis of VAA can accurately display loca- trop，size and hemodvnamics aneurysm

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