摘要
目的探讨彩色多普勒超声对锁骨下动脉盗血综合征（SSS）的临床诊断价值。方法回顾性分析我院经数字减影血管造影（DSA）确诊的40例SSS患者的无名动脉以及双侧锁骨下动脉、椎动脉、颈总动脉、颈内动脉彩色多普勒超声表现特征，按盗血情况分为0-Ⅲ级。并结合相关临床情况进行分析。结果40例SSS患者彩色多普勒超声均做出了准确诊断。其声像图特征为锁骨下动脉近端或无名动脉狭窄或闭塞，患侧椎动脉反流。发生于动脉粥样硬化35例，多发性大动脉炎3例，无名动脉夹层1例，无名动脉及颈总动脉血栓形成1例。盗血分级：Ⅲ级盗血12例，Ⅱ级盗血24例，Ⅰ级盗血3例，0级盗血1例。结论彩色多普勒超声是临床上诊断SSS的一种非常有效的首选无创性检查方法。
Objective To investigate the clinical diagnostic value of color Doppler ultrasound in subclavian steal syndrome（SSS）. Methods The color Doppler ultrasound features and related clinical situation of unknown artery, double side subclavian artery and vertebral artery, common carotid artery, internal carotid artery in 40 cases of subclavian steal syndrome （ SSS ） patients confirmed by DSA were retrospectively analyzed. Results The 40 cases of SSS were accurately diagnosed by color Doppler ultrasound. The sonographic characteristics included stenosis or occlusion in the proximal end of the subclavian artery or unknown artery, eontraflow in the vertebral artery on lesion side. There were 35 cases of atheroselerosis, 3 cases of multiple aorto arteritis, 1 case of unknown artery dissecting aneurysm, 1 case of unknown artery and common carotid artery thrombosis. Classification of SSS included ： 12 cases ofⅢ level, 24 cases of Ⅱ level, 3 cases of Ⅰ level, and 1 case of 0 level. Conclusion Color Doppler ultrasound is an effective, non-invasive preferred method for clinical diagnosis of SSS.
出处
《临床超声医学杂志》
2013年第3期172-175,共4页
Journal of Clinical Ultrasound in Medicine
关键词
超声检查
多普勒
彩色
锁骨下盗血综合征
椎动脉
Ultrasonography, Doppler, color
Subclavian steal syndrome
Vertebral artery
