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目的分析夹层动脉瘤治疗前彩色多普勒超声声像图特点;探讨其诊断与治疗方法。方法利用彩色多普勒诊断分析9例夹层动脉瘤患者声像图特点并分型。根据患者具体病情分别采用手术及非手术两种治疗方法,其中手术治疗3例,非手术治疗6例。结果彩超诊断符合率为88.9%(8/9)。非手术治疗组急性死亡2例,症状明显缓解4例;手术治疗组急性死亡1例,症状明显缓解2例。随访7~60个月,非手术治疗组因病情进展、动脉瘤破裂死亡1例,存活3例;手术治疗组2例均存活。结论彩色多普勒超声在夹层动脉瘤的诊疗中有重要的作用,合理选择治疗方案可明显改善预后。
Objective To analyze the characteristics of color Doppler sonography before dissecting aneurysm and to discuss its diagnosis and treatment. Methods Color Doppler diagnosis of 9 cases of dissecting aneurysm in patients with sonographic features and typing. According to the patient’s specific conditions were used surgical and non-surgical treatment of two methods, including surgical treatment in 3 cases, 6 cases of non-surgical treatment. Results The diagnostic accuracy of color Doppler ultrasound was 88.9% (8/9). Acute death in non-surgical treatment group 2 cases, 4 cases of symptoms were relieved; acute death in the surgical treatment group 1 cases, 2 cases of symptoms were significantly alleviated. During the follow-up period of 7 to 60 months, one patient died of aneurysm rupture due to the disease progression in the non-surgical treatment group, and 3 patients survived. Surgical treatment group 2 patients survived. Conclusion Color Doppler ultrasound plays an important role in the diagnosis and treatment of dissecting aneurysms. The rational choice of treatment can significantly improve the prognosis.