Gooding G A, Woodruff A
Radiology Service, San Francisco Veterans Administration Medical Center, California 94121.
Clin Imaging. 1994 Jul-Sep;18(3):165-72. doi: 10.1016/0899-7071(94)90076-0.
Thirty-three patients were examined by color-coded Doppler ultrasound of the thoracoaxillary region or upper arm to review the utility of the method in this local area. The subclavian artery and vein were identified in all but one patient, in whom the subclavian vein was occluded and collateral vessels had developed. Masses and foreign bodies were easily distinguished from vascular abnormalities. Sonographic cephalic/basilic vein mapping was effective in seven patients. Carotid subclavian grafts were noted and evaluated appropriately in two patients. Color-coded sonography offered advantages in speed of localization of vessels and visual assessment of vessel location, direction of flow, turbulence, relationship to adjacent soft tissues, and detection of collateralization. Foreign body detection was not enhanced by color coding.
对33例患者进行了胸腋区或上臂的彩色多普勒超声检查，以评估该方法在该局部区域的实用性。除1例患者锁骨下静脉闭塞并已形成侧支血管外，其余患者均能识别出锁骨下动静脉。肿块和异物很容易与血管异常区分开来。超声头静脉/贵要静脉造影在7例患者中有效。在2例患者中发现并适当评估了颈动脉-锁骨下动脉移植物。彩色编码超声在血管定位速度以及血管位置、血流方向、湍流、与相邻软组织的关系和侧支形成检测的视觉评估方面具有优势。彩色编码并未增强异物检测能力。
