| 超声诊断创伤性动静脉瘘 |
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| 引用本文： | 秋阳,勇强,李治安,崔复霞,孙琳,路彤,房芳.超声诊断创伤性动静脉瘘[J].心肺血管病杂志,2011,30(4):284-286,296. |
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| 作者姓名： | 秋阳 勇强 李治安 崔复霞 孙琳 路彤 房芳 |
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| 作者单位： | 首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所,超声诊断科,北京,100029 |
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| 摘 要： | 目的:探讨彩色多普勒超声在创伤性动静脉瘘诊治中的应用价值。方法:回顾性分析10例创伤性动静脉瘘患者的灰阶和彩色多普勒超声图像,包括动静脉瘘瘘口发生位置、瘘口大小及形态、受累静脉增宽程度、动静脉内血流表现、动静脉瘘分流的血流峰值流速、受累动脉近心端和远心端的血流频谱变化,受累静脉内频谱表现,并与手术结果或磁共振对比。术后检查,注意观察动静脉瘘口是否闭合,瘘口处动静脉的灰阶图像及血流表现。结果:动静脉瘘超声定性诊断率100%(10/10),瘘口位置诊断准确率100%(10/10),血流频谱的特异性表现为瘘口处高速、低阻及双期单向连续性血流,受累静脉内出现动脉样频谱。术后检查瘘口闭合(9/9,100%),原受累静脉内未探及动脉样频谱。结论:多普勒超声诊断动静脉瘘具有无创、简便、易行且准确率较高的优点,并具有较高的临床应用价值。
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| 关 键 词： | 动静脉瘘 超声检查 |
Diagnosis of ultrasonography in traumatic arteriovenous fistula |
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| QIU Yang,YONG Qiang,LI Zhian,CUI Fuxia,SUN Lin,LU Tong,FANG Fang.Diagnosis of ultrasonography in traumatic arteriovenous fistula[J].Journal of Cardiovascular and Pulmonary Diseases,2011,30(4):284-286,296. |
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| Authors: | QIU Yang YONG Qiang LI Zhian CUI Fuxia SUN Lin LU Tong FANG Fang |
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| Institution: | QIU Yang,YONG Qiang,LI Zhian,CUI Fuxia,SUN Lin,LU Tong,FANG Fang Deparment of Ultrasound,Capital Medical University affiliated Beijing Anzhen Hospital,Beijing Institute of Heart,Lung and Blood Vessel Diseases,Beijing 100029,China |
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| Abstract: | Objective:To investigate the Color Doppler ultrasound in the diagnosis and treatment of traumatic arteriovenous fistula.Methods: The sonographic findings of ten patients with traumatic arteriovenous fistula were reviewed,including the occurrence of arteriovenous fistula,fistula location,fistula size,shape,degree of venous involvement widened,the performance of arterial and venous blood flow,arteriovenous shunt peak velocity spectrum of changes in blood flow,involving artery proximal end and distal end of th... |
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| Keywords: | Arteriovenous fistula Ultrasonography |
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