摘要
目的:探讨二维及彩色多普勒超声检查对多发性大动脉炎患者外周血管和心脏病变的诊断价值。方法:对多发性大动脉炎患者32例入院后行常规二维超声和彩色多普勒超声检查,检查时要求患者取仰卧位,依次检查颈总动脉、无名动脉、椎动脉、腹主动脉、上肢、下肢动脉、心脏各断面的长轴及短轴切面,然后存储图像,记录分析并诊断。同时观察外周血管和心脏病变的检出率。结果:彩色多普勒超声对颈总动脉、锁骨下动脉、腹主动脉、肾动脉、肱动脉、股动脉病变的检出率分别为75.00%、37.50%、31.25%、43.75%、25.00%、18.75%,均优于常规二维超声,差异有统计学意义(P<0.05);对左室舒张功能降低、心包积液的检出率为28.13%,左室血栓检出率为15.63%,右心扩大伴肺动脉高压检出率40.63%,室间隔增厚检出率21.88%,主动脉关闭不全检出率25.00%,均高于常规二维超声检出率,差异有统计学意义(P<0.05)。结论:彩色多普勒超声检查能提高多发性大动脉炎患者外周血管和心脏病变的检出率,是临床医生诊断的首选方法。
Objective： To discuss the diagnostic value of two dimensional and color Doppler ultrasonography on peripheral vascular and heart lesion in patients with Takayasu＇s arteritis. Methods： All 32 patients visited our hospital were given two dimensional and color Doppler ultrasonography on supine position, the order of examination was common carotid artery, artery without name, vertebral artery, abdominal aorta, movement of lower and upper artery, long and short axis section of various sections of heart, then images were stored, recorded, analyzed and diagnosed. The positive rates of peripheral vascular and heart lesion were observed. Results： The positive rates of common carotid artery, subclavian artery, abdominal aorta, renal artery, branchial artery and femoral artery by color Doppler ultmsonography were 75.00%, 37.50%, 31.25%, 43.75%, 25.00% and 18.75% respectively, all were better than routine two dimensional ultrasonography, there were statistical differences （P〈：0.05）; the positive rate of hypofunction of LEDV and pericardial effusion was 28.13%, the positive rate of LVT was 15.63%, the positive rate of dilatation of right heart with PAH was 40.63%, the positive rate of thickening of ventricular septum was 21.88%, the positive rate of aortic insufficiency was 25.00%, which were all higher than the positive rate by two dimensional ultrasonography, there were statistical differences （P〈0.05）. Conclusion： Color Doppler ultrasonography can improve the positive rates of peripheral vascular and heart lesion in patients with Takayasu＇s arteritis, which is the first choice for diagnosis of clinical physicians.
出处
《西部中医药》
2017年第1期128-130,共3页
Western Journal of Traditional Chinese Medicine
关键词
动脉炎
外周血管
心脏病
彩色多普勒超声
诊断价值
arteritis
peripheral vessels
heart diseases
color Doppler ultrasonography
diagnostic value
