彩色多普勒超声在肢体动脉损伤诊疗中的应用

摘要

目的 探讨彩色多普勒超声在肢体动脉损伤的诊断和治疗中的临床意义.方法 应用彩色多普勒超声检查69例肢体外伤后出现不同程度肢体供血障碍患者,观察损伤处血管及其远、近端血管的二维、彩色血流及多普勒频谱的声像图表现.结果 69例中,超声提示血管完全或部分断裂伤13例,手术证实11例;超声提示动脉损伤并血栓18例,手术证实14例;超声提示血管损伤可能19例,手术证实12例;超声提示血管受压、痉挛及或骨室筋膜压力高造成供血障碍19例,临床治疗后全部证实.结论 彩色多普勒超声检查是诊断肢体血管损伤和临床治疗后随访观察的最佳手段.%Objective To explore the clinical significance of the color Doppler ultrasound in diagnosis and treatment of artery injury of extremities. Methods Color Doppler ultrasound was used in 69 patients with limb trauma. Results Ultrasonography showed completely or partially vascular rupture in 13 cases (surgery confirmed 11 cases), artery injury and thrombosis in 18 cases (surgery confirmed 14 cases), highly suspicious vascular injuries in 19 cases (surgery confirmed 12 cases), vascular pressure, cramps or bone room fascia caused by high blood pressure obstacles in 19 cases (all confirmed afterclinical treatment). Conclusion Color Doppler ultrasound is the best approach for diagnosis and outcome evaluation of of artery injury of extremities.