胫前动脉多普勒频谱形态与急性骨筋膜室综合征小腿前室压力的相关性研究

目的分析胫前动脉彩色多普勒血流频谱形态与小腿前室压力的相关性,探讨多普勒超声在小腿骨筋膜室综合征(osteofascialcompartmentsyndrome,OCS)中的诊断价值。方法对35例高度怀疑OCS的小腿进行彩色多普勒超声检查和小腿前室测压,两者结果进行对照分析。结果胫前动脉多普勒频谱形态有6种:双期双向三相波(A)、双期单向双相波(B)、双期双向舒张期全反向波(C)、双期单向单相波(D)、单期单向单相波(E)及类静脉频谱波(F)。随着小腿前室压力的增高,胫前动脉彩色多普勒血流频谱形态有从A型波向E型波转换的趋势。结论胫前动脉彩色多普勒血流频谱形态是判定小腿OCS临床分期的一项值得重视的指标。

Comparative study of Doppler Spectra of Anterior Tibial Artery with Pressure of Anterior Crural Compartment in Osteofascial Compartment Syndrome

Objective To study the correlation of the pressure in anterior crural compartment with color Doppler flow imaging(CDFI) a nd flow Doppler spectra in crural osteofascial compartment syndrome (OCS) and to evaluate CDFI diagnostic value for OCS. Methods A total of 35 cases with extremely suspected OCS were e xamined with CDFI in comparison with the pressure of the anterior crural intermu scles.Results The flow Doppler spectra of the anterior tibial artery had 6 types:biperiod(bip-),bidirectional(bid-)and triphasic(tiph- )wave(A);bip-,bid-,biph-wave(B);bip-,bid-diastolic whole inverse wa ve(C);bip-,unid-,uniph- wave(D);unip-,unid-uniph-wave(E);venou s like Doppler wave wave(F).The Flow Doppler spectra of the anterior tibial a rtery were changed from A to E along with pressure raising of the anterior crura l compartment pressure. Conclusions The flow Doppler Spectra is an important index for assessing the stages of OCS.