彩色多普勒超声在Klippel-Trenaunay综合征和Parkes-Weber综合征诊断中的临床应用

The research for the value of color Doppler ultrasonography in the diagnosis of Klippel-Trenaunay syndrome and Parkes-Weber syndrome

目的:探讨彩色多普勒超声在Klippel-Trenaunay综合征(KTS)和Parkes-Weber综合征(PWS)患者的诊断和鉴别价值。方法:回顾性分析我院经临床和影像学检查确诊的65例KTS和PWS患者彩色多普勒超声检查资料,对其动静脉病变进行比较。结果:超声检查发现KTS和PWS皮肤的葡萄酒色血管痣或血管瘤62例(95.4%);患肢增粗、增长61例(93.8%),KTS表现为深静脉缺如或管径变细,内径明显小于同名动脉,流速较低;PWS以多发动静脉瘘为特征,深静脉可变细,近瘘口处血管相对较粗伴流速增高。KTS与PWS两组间股静脉流速差异有统计学意义(P<0.01),腘静脉流速差异有统计学意义(P<0.05),两组间大隐静脉流速及内径差异、股静脉和腘静脉内径差异均无统计学意义(P>0.05)。结论:彩色超声检测对KTS和PWS的诊断和鉴别有较好的临床应用价值。

Objective：To explore the value of color Doppler ultrasound in the diagnosis of Klippel-Trenaunay syndrome（KTS） and Parkes-Weber syndrome（PWS）.Methods： The two-dimension and color Doppler ultrasonographic characteristics were analyzed in 65 cases of KTS and PWS.Results： 65 cases of KTS and PWS were diagnosed by color Doppler.The red vascular spiders or hemangioma were found in 62 cases（95.4%）;elongated affacted limbs and hypertrophied soft tissue were found in 61 cases（93.8%）.The color Doppler ultrasonography found 41cases of KTS：The deep vein became thinner,and the internal diameter of the deep vein was lower than the homonymous artery,and blood flow velocity is low.The color Doppler ultrasonography found 24 cases of PWS： The multiple arteriovenous fistula,the thinner deep vein,and enlarged vessels with rapid flow aroud the orifice of arteriovenous fistula were seen.Blood flow of femoral vein and popliteal vein of the PWS group were significantly faster than KTS group.There is no statistical difference in diameter of femoral vein and popliteal vein and great saphenous vein in two groups.Conclusion： Color Doppler ultrasonography is a convenient,safe and better choice for diagnosis of Klippel-Trenaunay syndrome and Parkes-Weber syndrome.