彩色多普勒超声在腹主动脉瘤破裂诊断中的应用价值
秋阳;李治安;崔复霞;勇强;张蕾
【期刊名称】《中华老年心脑血管病杂志》 【年(卷),期】2012(014)006
【摘要】Objective To study the value of color Doppler ultrasonography for the diagnosis and treatment of ruptured abdominal aortic aneurysm. Methods Gray scale and color Doppler ultrasound images of abdominal aortic aneurysm in 14 patients were retrospectively analyzed,including its
location,size,thickness,ruptured
site,abnormal
blood
vessel
echo,hematoma formation around blood vessels, free intraperitoneal fluid, and color Doppler ultrsonographic findings, which were compared with those observed in operation and CT angiography or MRI. Results The abdominal aortic aneurysm was detected in the 14 patients (over the kidney in 2 patients and under the kidney in 12 patients)by ultrasonography with a detectable rate of 100%. Its maximal diameter was 6. 1 ?13. 2 cm. The ultrasound diagnostic rate of ruptured abdominal aortic aneurysm wall,its adjacent hematoma,ascites,and retroperitoneal hematoma was 14. 3% ,66. 7% ,80. 0% ,and 12. 5% , respectively. Conclusion Ultrasonography is a simple, movable and non-invasive method for the rapid differential diagnosis of ruptured abdominal aortic aneurysm from acute abdominal pain due to other abdominal tumors,and is thus of a considerable value in discovery and
follow-up of abdominal aortic aneurysm,and emergency treatment of ruptured abdominal aortic aneurysm.%目的 探讨彩色多普勒超声在腹主动脉瘤破裂诊治中的价值.方法 回顾性分析14例腹主动脉瘤破裂患者的灰阶和彩色多普勒超声图像,从腹主动脉瘤发生部位、瘤体大小、瘤壁厚度、瘤体破裂部位、瘤体破裂时血管内异常回声、血管周边形成血肿、出现腹腔游离液及瘤体内彩色多普勒表现等方面进行分析,并与手术结果、CT血管成像或磁共振检查结果进行对比.结果 腹主动脉瘤超声检出率100％,肾上型2例,肾下型12例,瘤体最大直径6.1～13.2 cm,超声诊断腹主动脉瘤壁破裂处显示率14.3％,腹主动脉瘤旁腹腔血肿显示率66.7％,腹腔积液显示率80.0％,腹膜后血肿显示率12.5％.结论 超声作为可移动简便无损伤的检查方法,可以快速的对腹主动脉瘤破裂和其他腹腔器官肿物引起的急腹症进行鉴别,在腹主动脉瘤的发现、随访监测、腹主动脉瘤破裂急诊入院有较高的临床应用价值. 【总页数】3页(606-608)
【关键词】主动脉瘤,腹;超声检查,多普勒,彩色;主动脉破裂;血肿;早期诊断 【作者】秋阳;李治安;崔复霞;勇强;张蕾
【作者单位】100029 首都医科大学附属北京安贞医院超声诊断科北京市心肺血管疾病研究所;100029 首都医科大学附属北京安贞医院超声诊断科北京市心肺血管疾病研究所;100029 首都医科大学附属北京安贞医院超声诊断科北京市心肺血管疾病研究所;100029 首都医科大学附属北京安贞医院超声诊断科北京市心肺血管疾病研究所;100029 首都医科大学附属北京安贞医院超声诊断科北京市心肺血管疾病研究所 【正文语种】中文
【中图分类】 【文献来源】
https://www.zhangqiaokeyan.com/academic-journal-cn_chinese-journal-geriatric-heart-brain-vessel-diseases_thesis/0201232544562.html 【相关文献】
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彩色多普勒超声在腹主动脉瘤破裂诊断中的应用价值
