摘要
目的:评价先天性动静脉畸形治疗前后局部皮温的变化,及其与手术治疗效果之间的联系。方法:从2002年9月至2006年4月,在22例动静脉畸形患者中,使用WMY-01型数字温度计,于周围血管缝扎和瘤体栓塞等手术治疗前、后对病灶区皮肤温度进行测定,并取对侧或邻近正常部位的皮温作对照;同时应用彩超检测手术治疗前、后瘤体内血流充盈和血流速度的变化。结果:22例患者手术治疗后病灶区皮肤表面平均温度为(34.76±0.63)℃,较手术前的(35.58±0.68)℃显著下降(P<0.01),但治疗后的皮肤温度仍高于正常皮肤温度(34.23±0.83)℃(P<0.05)。彩超血流图显示,治疗前22例患者瘤体内血流充盈状况均为3级,治疗后为0级1例、1级14例、2级6例、3级1例,与治疗前相比有显著差异(P<0.01),血流速度由治疗前的(80.86±6.97)cm/s降至术后的(50.72±5.85)cm/s(P<0.01)。结论:先天性动静脉畸形皮肤温度于手术治疗后可明显降低,但仍高于正常皮肤。瘤体表面皮肤温度下降可作为判断手术治疗效果的指标之一。
Objective： To investigate the changes of local skin temperature in congenital arteriovenous malformations （CAVM） patients before and after treatment, and to assess the relationship between the changes of skin temperature and the outcomes of surgical treatment. Methods： From Sept. 2002 to Apr. 2006, skin temperatures around the lesions were measured in 22 CAVM patients with WMY-01 digital thermometer before and after surgical treatments, and the opposite side or adjacent skins were taken as controls. Furthermore, changes of flow signals and blood flow velocities in the lesions were measured by color Doppler uhrasonography pre- and post-operatively. Results： Skin temperatures of local lesions decreased from （35.58± 0.68）℃ pre-operatively to （34. 764±0.63）℃ post-operatively（P〈0.01）;however, the post-operative skin temperature of the lesions was still higher than that of normal skin （ 34. 23 ± 0. 83 ）℃ （ P〈0. 05 ）. Post-operatively, color Doppler flow image showed 100% occlusion of blood flow in 1 patient, more than 66.7% occlusion in 14 patients, more than 33.3% but less than 66.7 % occlusion in 6 patients, and no occlusion in 1 patient; there was significant difference between those pre- and post-opera- tion（P〈0.01）. The average blood flow velocity decreased from （80.86±6.97） cm/s preoperatively to （50.72±5.85） cm/s postoperatively （P%0.01）. Conclusion： A significant reduction of surface temperature in CAVMS lesions can he achieved by surgical treatment, and the temperature decrease of the lesion may be used as an indicator for the evaluation of treatment outcomes.
出处
《第二军医大学学报》
CAS
CSCD
北大核心
2006年第11期1232-1234,共3页
Academic Journal of Second Military Medical University
关键词
动静脉畸形
皮肤温度
超声检查
多普勒
彩色
arteriovenous malformations
skin temperature
ultrasonography, Doppler, color
