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1、彩色多普勒超聲診斷腸系膜上動脈壓迫綜合征的應(yīng)用價值[摘要]目的探討彩色多普勒超聲檢測腸系膜上動脈壓迫綜合征的價值。方法選擇2006年1月-2015年8月在我院診斷治療的腸系膜上動脈壓迫綜合征患者43例的臨床資料進行回顧性分析,為患病組,另選擇健康體檢者40例為對照組。所有研究對象均采用彩色多普勒超聲檢查,分析彩色多普勒超聲檢測腸系膜上動脈壓迫綜合征的影像特征,比較患病組與對照組十二指腸在腸系膜上動脈與腹主動脈夾角處的直徑(d)、夾角前內(nèi)徑(D)以及(d/D)。結(jié)果43例患者均顯示腸系膜上動脈清晰。43例患者中,8例腸系膜上動脈與腹主動脈夾角20-30°,
2、23例15-20°,13例<10°。有38例患者在彩色多普勒超聲下可清晰顯示腸系膜上動脈與腹主動脈夾角處有十二指腸受壓情況,近段擴張明顯。健康對照組測得腸系膜上動脈與腹主動脈夾角在40-60°,并且無十二指腸受壓的情況。兩組d、D以及d/D比較差異有統(tǒng)計學意義(P<0.05)。結(jié)論彩色多普勒超聲用于腸系膜上動脈壓迫綜合征的診斷具有特有的影像特征,腸系膜上動脈與腹主動脈夾角明顯縮小,并且具有無創(chuàng)、費用低的特點。【關(guān)鍵詞】彩色多普勒;超聲;腸系膜上動脈;壓迫綜合征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