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Виды ультразвуковой диагностики
- Ультразвуковая доплерография – оценка кровотока и проходимости сосудов, помогает выявить варикозное расширение крупных стволов подкожных вен.
- Ультразвуковое сканирование (дуплекс или триплекс) – детальное обследование для оценки скорости и направления венозного кровотока, анатомического строения и протяженности пораженных вен. Помогает обнаружить сужение и расширение сосудов, тромбы и атеросклеротические бляшки. Метод включает доплерографию и визуализацию сосудистых стенок.
Преимущество ультразвуковых методик в безопасности, удобстве для пациентов и информативности. К УЗИ сосудов нет противопоказаний, не требуется специальной подготовки, оно подходит для детей и беременных женщин. Обследование проводится в собственном диагностическом центре «Бест Клиник» по записи, без очередей и ожидания. Результаты вы получаете на руки сразу после процедуры.
Показания к ультразвуковой диагностике вен нижних конечностей
Записаться на ультразвуковую диагностику стоит при видимых изменениях вен (расширение, узлы и т.д.), образовании трофических язв, ощущении тяжести и распирания в ногах, отеке одной или двух конечностей. После 40 лет УЗ-сканирование назначается раз в год пациентам, входящим в группу риска развития атеросклероза или тромбоза. Также обследование необходимо перед хирургическим вмешательством на венах.
Дуплексное сканирование вен показано в следующих случаях:
- Атеросклероз – для выявления атеросклеротических бляшек на стадии формирования. При раннем начале лечения можно избежать сужения сосудов.
- Тромбоз глубоких вен – для обнаружения тромбов и оценки вероятности их отрыва. В ряде случаев требуется удаление тромба с целью профилактики тромбоэмболии легочной артерии, инфаркта или инсульта.
- Посттромботический синдром – для оценки кровотока и состояния клапанов после перенесенного острого тромбоза, чтобы вовремя скорректировать тактику лечения.
- Варикозное расширение вен – для определения степени тяжести варикоза и выбора техники хирургического вмешательства.
Преимущества ультразвуковой диагностики в «Бест Клиник»
В «Бест Клиник» ультразвуковое исследование вен проводится на технологичном оборудовании экспертного класса Logiq S6 и Esaote Mylab Seven. УЗ-сканеры последнего поколения расширяют возможности диагностики и позволяют получать трехмерные или контрастные изображения сосудов в высоком разрешении:
- оценка состояния клапанов и эластичности стенок, обнаружение тромбов любого размера за счет многократного увеличения изображений;
- выявление атеросклеротических отложений диаметром от 1 мм с точностью свыше 95%;
- правильность измерений и построение объемного изображения с оценкой картинки в продольных, поперечных, фронтальных и наклонных плоскостях;
- контроль над динамикой состояния с помощью сохранения информации в памяти аппарата.
Ультразвуковую диагностику вен нижних конечностей проводят квалифицированные врачи. Качество обследования гарантирует точность диагноза и разработку результативной тактики лечения.
Для записи на прием к флебологу — воспользуйтесь кнопкой «Записаться на прием» или позвоните по телефону +7 (499) 116 67 56.
Многие из нас могут наблюдать у себя венозную сетку на ногах, а к концу рабочего дня мучиться с отечностью и болями в ногах. С любой из таких проблем человек обращается к специальному врачу флебологу. Он направляет на исследование вен нижних конечностей.
Существует два вида исследований: ультразвуковая допплерография (УЗДГ) и ультразвуковое дуплексное сканирование (УЗДС). В чем разница УЗДС и УЗДГ, и как правильно выбрать метод обследования мы рассмотрим в данной статье.
Что такое УЗДС
Многие флебологи отправляют своих пациентов пройти процедуру обследования методом УЗДС, что это такое и какова его эффективность? Ультразвуковое дуплексное сканирование сочетает в себе В-режим и эффект Доплера. Благодаря данному методу можно не только определить качество сосудов, но и установить скорость движения крови по сосудам. С помощью такого анализа можно быстро выявить плохие венозные клапаны.
УЗДС проводят для пациентов с четко установленным диагнозом. С помощью этого метода можно точно диагностировать заболевания сосудов шеи и головы. По результатам исследования можно в точности определить в каком месте нарушилось движение крови по сосудам, и назначить лечение. Это поможет приостановить процесс развития более сложных заболеваний.
Чем отличается от УЗДГ
Ультразвуковая допплерография считается достаточно устаревшим методом исследования сосудов. Врач не может полностью изучить состояние их стенок, скорость кровотока и т.д.
В основе этого метода лежит так называемый эффект Доплера, благодаря которому можно зафиксировать проходимость сосудов или выявить нарушение работы венозного клапана.
В чем УЗДГ отличается от УЗДС? Можно сказать, практически во всем. Начнем с того, что методом УЗДГ можно установить только саму проблему, а не причину ее возникновения.
Метод УЗДГ можно использовать только для первичной диагностики сосудов, для более подробного их изучения стоит воспользоваться УЗДС исследование.
С помощью специального ультразвукового датчика на экран монитора выводится общая картина движения крови по сосудам, состояние их стенок и т.д.
Если врач отправил пациента на УЗДС артерий нижних конечностей, то процедура проходит следующим образом:
- пациент становиться на специальное возвышение перед аппаратом и разводит ноги на ширину плеч;
- исследуемую ногу поворачивает к прибору;
- с помощью специального датчика врач исследует сосуды в области паха;
- важным моментом является правильное дыхание во время процедуры: именно на вдохе-выдохе на мониторе видно разные цвета крови, которые характеризуют кровоток;
- затем проверяются вены и артерии на икроножных мышцах и под коленями.
При проведении УЗДС шеи и головы пациента ожидают следующие манипуляции:
- больной принимает положение, лежа на спине, голову поворачивает в сторону от монитора прибора;
- наносится на область шею специальное вещество-проводник;
- врач водит датчиком по шее и голове, тщательно изучая на экране монитора состояние сосудов.
Перед данной процедурой существует ряд обязательных условий:
- за сутки до процедуры исключить употребление чая, кофе и алкогольных напитков;
- не курить перед процедурой;
- в некоторых случаях при приеме сердечных препаратов, врачи могут временно приостановить их употребление;
- сныть любые украшения с шеи и ушей.
УЗДС вен нижних конечностей, что это такое? Это ультрасовременный вид диагностики, который используют для изучения таких заболеваний как атеросклероз сосудов, варикоз, тромбоз и т.д.
Обследование занимает около 15 минут, не требует особой подготовки. В результате врач может оценить качество стенок вен на ногах, выявить возможные закупорки и назначить соответственное лечение.
УЗДС ВДА, что это такое? Это обследование вен дуги аорты. Результаты такого исследования помогают выявить нарушения в работе главного сердечного сосуда и назначить комплексное своевременное лечение.
Сама процедура проходит безболезненно и уже через 15-20 минут врач может получить результат о состояние аорты.
Вся процедура диагностики проходит для пациента безболезненно, врач может попросить поменять положение для получения более качественной картины на мониторе. Длительность процедуры ультразвукового дуплексного исследования занимает от 10 минут до получаса.
УЗДС (УЗИ), что это? На сегодняшний день, это современный вид диагностики сосудов всего организма. Ультразвуковое дуплексное сканирование имеет ряд преимуществ перед другими процедурами:
- быстрота проведения обследования;
- отсутствие, какой либо подготовки перед процедурой;
- выявление природных патологий вен и сосудов (излишняя извилистость или деформация);
- определение возможных бляшек из холестерина или тромбов;
- скорость кровотока устанавливается даже в самых мелких сосудах организма;
- не имеет противопоказаний к проведению;
- возможность повторного проведения несколько раз в день;
- можно использовать для женщин во время беременности и в период лактации.
Из недостатков можно назвать только достаточно высокую стоимость по сравнению с более простыми методами диагностики (УЗИ или УЗДГ).
Рекомендации к проведению
В принципе данный метод обследования не имеет особых условий для подготовки. Это касается сканирования областей шеи или головы.
Если речь идет о изучении вен нижних конечностей или тазовой области, то тут существует несколько важных моментов.
За три дня до сканирования нужно придерживаться строгой диеты: исключить прием молока, мяса, черного хлеба и капусты.
Это касается также всех остальных продуктов, содержащих большое количество клетчатки.
Если придерживаться этих условий, то врач сможет качественно провести ультразвуковое дуплексное сканирование и получить четкую картину заболевания.
Запрещается принимать препараты, которые останавливают процесс образования газов в организме. От качественной подготовки напрямую зависит полученный результат. Поэтому каждый пациент должен отнестись серьёзно ко всем рекомендациям врача.
Для предотвращения заболеваний сосудов необходимо обязательно хотя бы раз в год проходить диагностику. На сегодняшний день, самым популярным методом остается ультразвуковое дуплексное сканирование (УЗДС). Оно имеет ряд преимуществ перед другими процедурами.
Пройдя УЗДС, врач может точно установить состояние даже самых мелких сосудов, найти образовавшиеся холестериновые бляшки или тромбы, измерить скорость движения крови по сосудам. Благодаря своевременной диагностике можно снизить риск развития патологий и ухудшения существующих заболеваний.
Ультразвуковое ангиосканирование является наиболее точным и эффективным методом оценки состояния сосудов, при котором можно наблюдать на экране их проходимость, величину просвета и получить данные о кровотоке. Метод основан на использовании допплер эффекта выявления нарушений в работе сердечно-сосудистой системы. Сканирование сосудов помогает диагностировать патологию вен и артерий на ранних стадиях.
Показания к проведению
Назначает обследование сосудистый хирург или флеболог. Показания к его проведению следующие:
- телесно-трофические расстройства;
- рецидивы заболеваний сосудов;
- наблюдение за динамикой излечения.
Виды ангиосканирования, особенности, отличия
Существуют несколько видов ангиосканирования, рассмотрим их особенности.
Доплерографическое – наиболее простое, занимается исследованием только одной функции – проходимости сосудов. Результаты представляются в виде графика движения крови.
Ультразвуковое дуплексное сканирование (УЗДС) позволяет, кроме проходимости сосудов, выявить причины патологии – бляшки, тромбы и другие возможные аномалии. При дуплексном исследовании сканер может показать двумерное изображение стенок сосуда и просвета в нем – вдоль и поперек.
Триплексное – в большой степени сходно с дуплексным, но имеет несколько более широкие возможности, так как выполняется с цветным картированием. Цветовое решение позволяет делать выводы:
- о направлении движения крови;
- о скорости кровотока;
- о степени стеноза;
- давать более точную оценку проходимости сосудов.
Полученное изображение позволяет наглядно увидеть причину возникновения патологии, что существенно облегчает дальнейшую работу с пациентом.
Вид диагностики, который поможет наиболее эффективно решить возникшую проблему, определяет врач, назначающий процедуру и ведущий заболевание пациента.
В ЦКБ РАН проводятся следующие процедуры ангиосканирования:
Процедура УЗДГ начинается с обследования сонных артерий. Сонолог отслеживает ход артерии, глубину и уровень разделения на ветви. В цветном режиме проводится осмотр каждой ветви отдельно.
Нарушение притока крови к голове провоцирует развитие шейной мигрени, так как сдавливаются нервные сплетения. Это состояние хорошо диагностирует допплерография шейно-позвоночных артерий. Признаком заболевания является головная боль, у человека нарушается координация и кружится голова.
Логическим продолжением процедуры является исследование брюшной аорты и ее ветвей.
В плановом порядке выполняется УЗГД при беременности для наблюдения сердца и сосудов плода.
Ультразвуковая допплерография сосудов почек и почечных артерий используется для быстрой и объективной оценки их состояния, проходимости и для принятия решения о назначении лечения.
Часто проводится допплерография сосудов глаза, которая позволяет оценить их состояние для выявления патологии на ранних стадиях.
Где сделать дуплексное сканирование?
Эффективность обследования напрямую зависит от возможностей оборудования и квалификации врачей. Наилучшее решение этого вопроса предоставляет ЦКБ РАН в Москве. Здесь вы найдете заботу, качественное обслуживание и самые современные технические возможности.
Специальная подготовка к исследованию не требуется. Это безопасная и безболезненная процедура, противопоказания для ее проведения отсутствуют. Результаты пациент получает сразу.
Для диагностики сосудов ультразвуковая методика считается одной из наиболее эффективных. Узнайте цену процедуры, запишитесь на прием к специалисту или непосредственно на диагностику по телефону (499) 400-47-33.
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