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[术中超声双功扫描在腹腔动脉压迫综合征患者手术治疗结果的诊断与评估中的应用]

[Intraoperative ultrasound duplex scanning in the diagnosis and assessment of results of surgical treatment of patients with celiac compression syndrome].

作者信息

Ignashov A M, Den Bo, Perleĭ V E, Gichkin A Iu, Ustiuzhaninov A S, Kachalov D V, Tabakova T M

出版信息

Vestn Khir Im I I Grek. 2012;171(6):49-53.

Abstract

The authors have performed an analysis of main indicators of celiac duplex scanning in 180 patients with celiac compression syndrome before operation, during decompression and at the postoperative period. All the patients underwent surgical celiac trunk decompression. The indicators of the intraoperative celiac duplex scanning (stenosis degree, linear peak systolic circulation rate) of the celiac trunk shower hemodynamic reliable stenosis and were sufficiently different from preoperative findings. The stenosis degree and linear peak systolic circulation rate were less during intraoperative examination than before the operation. Intraoperative, duplex canning allowed compressive stenosis of the seliac trunk to be differentatied in some patients from intravasal one (atherosclerosis and arteritis), and its adequate decompression to be performed. When performing the celiac trunk decompression it is thought to be necessary to fulfill its intraoperative ultrasound duplex scanning before and after elimination of the compression.

摘要

作者对180例腹腔干压迫综合征患者在手术前、减压过程中和术后进行了腹腔干双重扫描主要指标的分析。所有患者均接受了腹腔干手术减压。腹腔干血流动力学可靠狭窄的术中腹腔干双重扫描指标(狭窄程度、线性收缩期峰值循环率)与术前结果有显著差异。术中检查时的狭窄程度和线性收缩期峰值循环率低于手术前。术中,双重扫描可在一些患者中将腹腔干的压迫性狭窄与血管内狭窄(动脉粥样硬化和动脉炎)区分开来,并进行充分减压。在进行腹腔干减压时,认为有必要在解除压迫前后进行术中超声双重扫描。

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