摘要
目的探讨彩色多普勒在中老年腹主动脉瘤筛查中的临床价值。方法总结23例中老年腹主动脉瘤彩色多普勒声像特点,并对不同类型腹主动脉瘤超声诊断提出相应的注意事项。结果本组23例患者均经超声检查确诊,瘤体大小在4cm以内者14例,4cm或以上者9例。其中,真性动脉瘤9例,前后径为10～25mm,平均16.9mm;夹层动脉瘤6例,假性动脉瘤3例,腹主动脉瘤破裂5例。10例动脉壁可见不同程度的动脉粥样硬化斑块形成,其中合并有附壁血栓者3例,主要表现为等回声,附壁血栓厚度为0.3～2.0cm。结论超声诊断腹主动脉瘤简便易行,价格低廉,可重复进行,值得临床重视。
Objective To explore the value of color Doppler in elderly abdominal aortic aneurysm screening.Methods The color Doppler characteristics of 23 elderly patients with abdominal aortic aneurysm were summed,and matters need atten tion were given to ultrasonic diagnosis of different type abdominal aortic aneurysm.Results Twenty three cases were all diagnosed by ultrasound,tumor size of 14 cases were less than 4 cm,tumor size of 9 cases were 4 cm or more than 4 cm.True aneurysm was found in 9 cases,whose anteroposterior diameter was 10 ～25 mm,average of 16.9 mm;dissecting aneurysm was found in 6 cases,pseudoaneurysm was found in 3 cases,5 cases occurred rupture of abdominal aortic a neurysm.Different degrees of atherosclerotic plaque formation were found in 10 patients＇ arterial wall,3 cases merged with mural thrombus and the main show was equal echo,mural thrombus thickness was 0.3～2.0 cm.Conclusion The ultrasonic diagnosis of abdominal aortic aneurysm is simple,the price is low,and it can be repeated,so it is worthy of clinical attention.
出处
《中国当代医药》
2012年第29期92-93,共2页
China Modern Medicine
关键词
彩色多普勒
中老年
腹主动脉瘤
类型
Color Doppler
Elderly
Abdominal aortic aneurysm
Type
