下肢动脉疾病的CDUS、CTA与DSA对比研究
Contrast Study of CDUS, CTA and DSA in Lower Extremity Artery Disease Diagnosis

作者: 周祝谦 , 李爱银 , 李桂杰 , 张曙光 , 程永帅 :山东大学附属千佛山医院,济南;

关键词: 下肢动脉疾病、CDUS、CTA、DSALower Extremity Arteriopathy CDUS CTA DSA

摘要:
目的:探讨彩色多普勒超声(CDUS)CT血管造影(CTA)及数字减影血管造影(DSA)在下肢动脉疾病诊断中的应用价值。方法:100例下肢动脉疾病患者分别采用CDUSCTADSA检查。结果:血栓闭塞性脉管炎(TAO)及周围动脉损伤CDUSCTADSA的诊断符合率均为100%;而下肢动脉硬化闭塞症(ASO)的相应检查符合率分别为95.2%97.6%100%;动脉瘤和假性动脉瘤为100%100%91.6%;急性肢体动脉栓塞(AAEE) 87.5%100%100%;动静脉瘘(AVF)83.3%.83.3%100%结论:CDUS无创伤,能够全面观察血管管腔,管壁结构及血流状况;CTA对管壁周围及腔内直观显像能直接表明管壁受侵及管腔改变;DSA能精确诊断血管病变程度、部位、侧枝循环及小动脉。三者密切结合不仅可准确诊断下肢动脉疾病,还可对指导临床治疗有重要价值。
Objective: To explore the application value of CDUS, CTA and DSA in lower extremity artery disease diagnosis. Methods: 100 patients with lower extremities arteriopathy were examined under CDUS, CTA and DSA. Results The positive rates of diagnosis for thromboangitis obliterans (TAO), arteriosclerosis obliterans (ASO), aneurysm and pseudoaneurysm, acute artery embolism of the extremity (AAEE) and arteriovenous fistula (AVF) under CDUS, CTA and DSA examination respectively were: 100%, 100%, 100%; 95.2%, 97.6%, 100%; 100%, 100%, 91.6%; 87.5%, 100%, 100%; 83.3%, 83.3%, 100%. Conclusion: CDUS is non-invasive and it can give a comprehensive observation of the artery lumens, vessel walls and the blood stream; CTA can display changes of peripheral vessel walls and lumens clearly; DSA can show accurate degrees of vessel diseases, location, collateral circulation and arteriola. Lower extremity arteriopathy can be diagnosed accurately under the combination of these methods which are of great importance to guide the clinical treatment.

文章引用: 周祝谦 , 李爱银 , 李桂杰 , 张曙光 , 程永帅 (2013) 下肢动脉疾病的CDUS、CTA与DSA对比研究。 医学诊断, 3, 37-41. doi: 10.12677/MD.2013.34008

参考文献

[1] 王克礼, 李智勇, 刘晓峰等 (2006) 多层螺旋CT在下肢血管成像的临床应用. 放射学实践杂志, 21, 67-69.

[2] 周祝谦, 李桂杰, 王连祥 (2008) 下肢动脉疾病的CDUS与DSA对比研究. 中国介入放射学杂志, 2, 31-33.

[3] T. Albrecht, E. Foert, R. Holtkamp, et al. (2007) 16 MDCT angiography of aortoiliac and lower extremity arteries: Comparison with digital sub traction angiography. AJR, 189, 702- 711.

[4] A. Mishra, J. N. Bhaktarahalli and E. F. Ehtuish (2007) Imaging of peripheral arteries by 16 row multidetector computed tomography angiography: A feasible tool. European Journal of Radiology, 61, 528-533.

[5] 金启安, 邓克学, 邓福生等 (2006) 16 层螺旋CT血管成像在下肢血管病变诊断中的应用. 安徽医科大学学报, 41, 459- 461.

[6] 郑巍 (2008) 彩色多普勒超声和多层螺旋CTA诊断下肢动脉硬化性闭塞症的临床价值. 山东医药, 48, 50-51.

[7] 李桂杰, 孙洁, 周祝谦等 (2008)下肢动脉狭窄或闭塞的影像学对比研究. 当代医学(中国介入放射学), 4, 307-309.

[8] 李光超, 邓钢, 秦永林等 (2008) 下肢动脉闭塞性病变的64层CT血管造影与DSA的对照研究. 介入放射学杂志, 5, 336- 339.

[9] 王朝阳 (2011) CTA诊断糖尿病下肢动脉病变的临床应用评价. 实用医学影像杂志, 2, 64-67.

[10] 杨明, 滕皋军 (2008) 下肢动脉成像技术及后处理策略. 介入放射学杂志, 5, 353-356.

[11] 刘艳萍 (2008)下肢动脉粥样硬化性闭塞症的彩色多普勒超声诊断价值. 实用心脑肺血管病杂志, 5, 44-45.

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