• 1.中國醫(yī)科大學第一臨床醫(yī)院外科（沈陽110001）2.英國倫敦大學Guy’s醫(yī)院外科;

對176名患者的757個動脈段分別做了快速血管掃描（quickscan,QS）及血管造影兩項檢查。以QS系統(tǒng)血管相鄰兩點多普勒頻移的比率≥1：3作為判斷血管存在臨界狹窄（血管直徑減少50%以上）的閾值。結果：與血管造影結果相比，QS診斷血管臨界狹窄的敏感性、特異性和準確性分別為88%、94%和92%；診斷血管閉塞的敏感性、特異性和準確性分別為91%、95%和94%；QS發(fā)現(xiàn)血管的狹窄程度與踝肱指數(shù)呈明顯負相關（r=-0.77,P lt;0.01）。本組中37名患者根據(jù)QS檢查結果進行了經皮穿刺血管成型術，術中證實病變的存在，效果令人滿意。由此表明，在周圍血管疾病的診斷中，QS可以作為迅速準確、無創(chuàng)傷、費用低廉的常規(guī)檢查手段，適合在我國推廣應用。

引用本文： 張強,陳燕,段志泉,D,H,King,P,R,Taylor. 血管掃描用于診斷周圍血管疾病的臨床研究. 中國普外基礎與臨床雜志, 1996, 3(4): 217-220. doi: 復制

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1. Hessel SJ,Adams DF,Abrams HL.Complications of angiography.Radiology,1981;138:273.
2. Cohen J.Weighted Kappa.Psychol Bull,l968;70:213.
3. King DH,Desouza NM,Taylor MG,et al.2O minute lower limb assessment using quickscan.BMUS Bulletin.1990;2:8.
4. Kohler TR,Nance DR,Gramer MM,et al.Duplex scanning for diagnosis of aortoiliac and femoropopliteal disease:a prospective study.Circulation,1987;76:1074.
5. Legemate DA,Teeuwen C,Hoeneveld H,et al.The potential of duplex scanning to replace aortoiliac and femoro-popliteal angiography.Eur J Vasc Surg,1989;3:49.
6. Moneta GL,Yeager RA,Lee RW,et al.Noninvasive localization of arterial occlusive disease:a comparison of segmental Doppler pressures and arterial duplex mapping.J Vasc Surg,1993;17:578.
  1. 1. Hessel SJ,Adams DF,Abrams HL.Complications of angiography.Radiology,1981;138:273.
  2. 2. Cohen J.Weighted Kappa.Psychol Bull,l968;70:213.
  3. 3. King DH,Desouza NM,Taylor MG,et al.2O minute lower limb assessment using quickscan.BMUS Bulletin.1990;2:8.
  4. 4. Kohler TR,Nance DR,Gramer MM,et al.Duplex scanning for diagnosis of aortoiliac and femoropopliteal disease:a prospective study.Circulation,1987;76:1074.
  5. 5. Legemate DA,Teeuwen C,Hoeneveld H,et al.The potential of duplex scanning to replace aortoiliac and femoro-popliteal angiography.Eur J Vasc Surg,1989;3:49.
  6. 6. Moneta GL,Yeager RA,Lee RW,et al.Noninvasive localization of arterial occlusive disease:a comparison of segmental Doppler pressures and arterial duplex mapping.J Vasc Surg,1993;17:578.