王节,刘萃,张国华,原金生.彩色双功超声扫描在腹主动脉瘤血管内修复术后随访的价值[J].中国医学影像技术,2004,20(2):259~261
彩色双功超声扫描在腹主动脉瘤血管内修复术后随访的价值
Color duplex ultrasonography in follow-up endovascular repair of abdominal aortic aneurysm
  
DOI:
中文关键词:  超声检查,多普勒,双功能  腹主动脉瘤  血管内修复术  内漏
英文关键词:Ultrasonography,Doppler,duplex  Abdominal aortic aneurysm  Endovascular repair  Endoleak
基金项目:
作者单位
王节 解放军总医院南楼超声科,北京 100853 
刘萃 解放军总医院南楼超声科,北京 100853 
张国华 解放军总医院血管外科,北京 100853 
原金生 解放军总医院南楼超声科,北京 100853 
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中文摘要:
      目的 评价彩色双功超声扫描(CDUS)在腹主动脉瘤(AAA)血管内修复术(EVR)后随访的价值。方法 用CDUS对28例腹主动脉瘤血管内修复术后患者进行随访,将有内漏者与计算机断层扫描血管造影(CTA)进行比较。结果 检出内漏4例5人次占14.29%,其中Ⅰ型内漏2例占7.14%,Ⅱ型内漏2例占7.14%,Ⅲ型内漏1例占3.57%;血管内支架分支阻塞2例占7.14%;腹股沟血肿2例占7.14%。结论 CDUS对于AAA血管内修复术后的随访检查能确定内漏的类型及病因血管;有无支架狭窄或血栓形成等并发症。
英文摘要:
      Objective To evaluate the value of color duplex ultrasonography (CDUS) in follow-up endovascular repair of abdominal aortic aneurysm (AAA) (EAR).Methods Follow-up CDUS for detecting endoleak (EL) in 28 patients underwent EAR of AAA were retrospectively reviewed and analyzed. The results of EL detected by CDUS were compared with computed tomographic angiography (CTA).Results Five of EL were detected in 4 patients with CDUS,included 2 cases of Ⅰtype EL (7.14%),2 cases of Ⅱtype EL (7.14%),1 case of Ⅲ type EL (3.57%). There were 2 cases of graft limb thrombosis (7.14%) and 2 cases of groin hematoma (7.14%) identified.Conclusion CDUS is effective in identifying the type of endoleak and its origin,as well as the complications,such as framework stenosis and graft limb thrombosis.
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