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目的探讨彩超诊断脑卒中后合并肩手综合征患者上肢血管的声像图特点及临床价值。方法选取25例脑卒中后合并肩手综合征I期患者作为观察组,并取12例脑卒中后未出现并发症的患者作为对照组,应用彩超观察双侧上肢静脉管腔形态、管壁回声、管腔内血流速度及频谱多普勒情况。结果脑卒中后合并肩手综合征I期患者上肢血管的声像图清晰、典型,彩超能检测出患肢静脉管腔增宽者92%(23/25)、血流速度减低者96%(24/25)、管壁增厚者92%(23/25)、血流频谱平直者84%(21/25),同时发现静脉内出现烟雾影者12%(3/25)、淋巴结单侧性增大者24%(6/25)。结论超声检查是肩手综合征诊断的重要方法,对肩手综合征早期诊断和采取治疗具有重要意义。
Objective To investigate the ultrasonographic features and clinical value of color Doppler ultrasonography in the diagnosis of upper extremity blood vessels in stroke patients with combined shoulder-hand syndrome. Methods Twenty-five patients with post-stroke combined shoulder-hand syndrome I were selected as the observation group. Twelve patients without post-stroke complications were selected as the control group. The morphology of venous lumen in bilateral upper limb was observed by color Doppler. , Intraluminal blood flow velocity and spectral Doppler condition. Results The sonogram of the upper extremity vessels in patients with stage I post-stroke shoulder syndrome was clear and typical. Color ultrasonography was able to detect 92% (23/25) of the venous lumen enlargement and 96% of the decrease of blood flow velocity 24/25), 92% (23/25) of the wall thickening, 84% (21/25) of the flatness of the blood flow and 12% (3/25) of the smoke in the vein. The single lymph node Lateral increase in 24% (6/25). Conclusion Ultrasonography is an important method for the diagnosis of shoulder-hand syndrome, which is of great significance for the early diagnosis and treatment of shoulder-hand syndrome.