彩色多普勒超声检测肠系膜上动脉压迫综合征的价值,12.28

《彩色多普勒超声检测肠系膜上动脉压迫综合征的价值,12.28》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、彩色多普勒超声诊断肠系膜上动脉压迫综合征的应用价值[摘要]目的探讨彩色多普勒超声检测肠系膜上动脉压迫综合征的价值。方法选择2006年1月-2015年8月在我院诊断治疗的肠系膜上动脉压迫综合征患者43例的临床资料进行回顾性分析，为患病组，另选择健康体检者40例为对照组。所有研究对象均采用彩色多普勒超声检查，分析彩色多普勒超声检测肠系膜上动脉压迫综合征的影像特征，比较患病组与对照组十二指肠在肠系膜上动脉与腹主动脉夹角处的直径（d）、夹角前内径（D）以及（d/D）。结果43例患者均显示肠系膜上动脉清晰。43例患者中，8例肠系膜上动脉与腹主动脉夹角20-30°，

2、23例15-20°，13例＜10°。有38例患者在彩色多普勒超声下可清晰显示肠系膜上动脉与腹主动脉夹角处有十二指肠受压情况，近段扩张明显。健康对照组测得肠系膜上动脉与腹主动脉夹角在40-60°，并且无十二指肠受压的情况。两组d、D以及d/D比较差异有统计学意义（P＜0.05）。结论彩色多普勒超声用于肠系膜上动脉压迫综合征的诊断具有特有的影像特征，肠系膜上动脉与腹主动脉夹角明显缩小，并且具有无创、费用低的特点。【关键词】彩色多普勒；超声；肠系膜上动脉；压迫综合征DiagnosisvalueofColorDopplerultrasoundforsuperio

3、rmesentericarterycompressionsyndrome[Abstract]ObjectiveTodiscussdiagnosisvalueofColorDopplerultrasoundforsuperiormesentericarterycompressionsyndrome.MethodsClinicaldataof43caseswithsuperiormesentericarterycompressionsyndromefromJan2010toOct2015wererespectivelyanalyzed.40casesofhe

4、althyphysicalexaminationwereselectedascontrolgroup.AllcasesweredetectedwithcolorDopplerultrasound.ImagefeaturesofcolorDopplerultrasoundforsuperiormesentericarterycompressionsyndromewereanalyzed.Diameteroftheincludedanglebetweenthesuperiormesentericarteryandtheabdominalaorta(d),in

5、sidediameterofincludedangle(D)andd/Doftwogroupswerecompared.ResultsThesuperiormesentericarterywasclearin43patients.In43cases,anglesbetweensuperiormesentericarteryandabdominalaortaof8caseswere20-30°,23caseswere15-20°,and13caseswere＜10°.38casesincolorDopplerultrasoundclearlyshowedt

6、hattheduodenumbetweenthesuperiormesentericarteryandabdominalaortaincludedanglecompressionandobviousproximalexpansion.Anglesbetweensuperiormesentericarteryandabdominalaortaofcontrolgroupwere40-60°,andnoduodenalpressure.d,Dandd/Doftwogroupsshowedsignificantdifference（P＜0.05）.Conclu

7、sionColorDopplerultrasoundinthediagnosisofsuperiormesentericarterysyndromeischaracterizedbyitsuniquefeatures,theincludedanglebetweenthesuperiormesentericarteryandtheabdominalaortaissignificantlyreduced,andwithnoninvasive,lowcostcharacteristics.[Keywords]Noninvasive,lowcostcharact

8、eristics;ultrasound;superiormesentericar