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[彩色编码双功超声在主动脉瘤术后评估中的应用]

[Color-coded duplex sonography in postoperative evaluation of aortic aneurysms].

作者信息

Schnarkowski P, Kalff J C, Kania U, Reiser M F

机构信息

Institut für Radiologische Diagnostik, Ludwig-Maximilians-Universität München.

出版信息

Ultraschall Med. 1994 Dec;15(6):308-11. doi: 10.1055/s-2007-1003970.

Abstract

One hundred patients with infrarenal abdominal aortic aneurysms were treated by surgery. Fifteen deaths occurred postoperatively. Eleven patients died during the follow-up of a medium period of 13 months. Three patients with a ruptured aneurysm died intraoperatively before the graft was implanted. Three patients were lost to follow-up. Sixty-four patients were examined with colour-coded Duplex sonography after surgical repair. Colour-coded Duplex sonography was able to image the aortic prostheses with the adjacent major vessels. Fifty-eight patients showed a normal prosthesis, 3 dilatation proximal of the prosthesis, 1 dilatation distal of the prosthesis, 1 mild stenosis, 1 haematoma. Colour-coded Duplex sonography imaged the intraluminal space of the prosthesis more easily than ultrasound. Colour-coded Duplex sonography was able to differentiate between intraluminal and extraluminal lesions.

摘要

100例肾下腹主动脉瘤患者接受了手术治疗。术后有15例死亡。11例患者在为期13个月的中期随访期间死亡。3例动脉瘤破裂患者在植入移植物前术中死亡。3例患者失访。64例患者在手术修复后接受了彩色编码双功超声检查。彩色编码双功超声能够对主动脉假体及其相邻的主要血管进行成像。58例患者的假体显示正常,3例假体近端扩张,1例假体远端扩张,1例轻度狭窄,1例血肿。彩色编码双功超声比超声更容易对假体的管腔内空间进行成像。彩色编码双功超声能够区分管腔内和管腔外病变。

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