本文選題：超聲檢查 + 多普勒�。� 參考：《重慶醫(yī)學(xué)》2016年10期

【摘要】：目的應(yīng)用彩色多普勒超聲(CDFI)評(píng)估頸內(nèi)動(dòng)脈顱內(nèi)段重度狹窄及閉塞(ICAO)患者頸動(dòng)脈結(jié)構(gòu)及血流動(dòng)力學(xué)變化的意義。方法選擇由CDFI和經(jīng)顱多普勒(TCD)聯(lián)合檢測(cè)并經(jīng)數(shù)字減影血管造影(DSA)和CT血管成像證實(shí)的單側(cè)ICAO患者68例,分別對(duì)比雙側(cè)頸總動(dòng)脈、頸內(nèi)動(dòng)脈、頸外動(dòng)脈的內(nèi)徑,收縮期峰值流速(PSV),舒張末期流速(DSV)及血管阻力指數(shù)(RI),比較患側(cè)與健側(cè)的頸總動(dòng)脈、頸內(nèi)動(dòng)脈、頸外動(dòng)脈的血流動(dòng)力學(xué)參數(shù)。結(jié)果 68例單側(cè)ICAO患側(cè)頸內(nèi)動(dòng)脈內(nèi)徑低于健側(cè)(P0.05),患側(cè)頸總動(dòng)脈、頸外動(dòng)脈內(nèi)徑與健側(cè)差異無統(tǒng)計(jì)學(xué)意義(P0.05),患側(cè)頸總動(dòng)脈、頸內(nèi)動(dòng)脈PSV、DSV均低于健側(cè),RI高于健側(cè),差異均有統(tǒng)計(jì)學(xué)意義(P0.05);頸外動(dòng)脈PSV、DSV均高于健側(cè),RI低于健側(cè),差異有統(tǒng)計(jì)學(xué)意義(P0.05)。眼動(dòng)脈(OA)分支前患側(cè)頸內(nèi)動(dòng)脈PSV、DSV低于OA后(P0.05),RI高于OA分支閉塞后(P0.05)。結(jié)論CDFI可用于ICAO的初步定位評(píng)估。
[Abstract]:Objective to evaluate the changes of carotid artery structure and hemodynamics in patients with severe intracranial stenosis and occlusion of internal carotid artery by color Doppler ultrasonography (CDFI). Methods Sixty-eight patients with unilateral ICAO, confirmed by digital subtraction angiography (DSA) and CT angiography, were selected to compare the internal diameters of bilateral common carotid artery, internal carotid artery and external carotid artery, respectively, which were detected by CDFI and transcranial Doppler imaging (TCD) and confirmed by digital subtraction angiography (DSA) and CT angiography. Peak systolic velocity (PSV), end-diastolic flow velocity (DSVV) and vascular resistance index (RI) were compared between the common carotid artery, the internal carotid artery and the external carotid artery in the affected side and the normal side. The hemodynamic parameters of the common carotid artery, the internal carotid artery and the external carotid artery were compared between the affected side and the normal side. Results the internal diameter of internal carotid artery in 68 patients with unilateral ICAO was lower than that of healthy side (P 0.05). There was no significant difference in internal diameter of common carotid artery and external carotid artery between the affected side and the healthy side. The internal diameter of the common carotid artery and internal carotid artery of the affected side were lower than that of the healthy side. The RI of the common carotid artery and the internal carotid artery were lower than that of the healthy side. The difference was statistically significant (P 0.05), and the PSVV DSV of the external carotid artery was higher than that of the healthy side (P 0.05), and the RI of the normal side was lower than that of the normal side (P 0.05). The PSV DSV of the internal carotid artery in the affected side before OAA was lower than that in the OA group (P 0.05) and the RI was higher than that in the OA branch after occlusion (P 0.05). Conclusion CDFI can be used to evaluate the localization of ICAO.
【作者單位】： 貴州省安順市人民醫(yī)院超聲科;
【分類號(hào)】：R445.1;R743.3

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 魏新華;江新青;潘小平;王偉;梁志偉;徐向東;;癥狀性單側(cè)頸內(nèi)動(dòng)脈顱內(nèi)段嚴(yán)重狹窄或閉塞全腦CT灌注成像表現(xiàn)模式[J];中國(guó)臨床醫(yī)學(xué)影像雜志;2012年06期

2 李星亮;楊笑一;張玉強(qiáng);郭宇;王昕光;李二生;;評(píng)估頸內(nèi)動(dòng)脈顱內(nèi)段血管狹窄三種影像學(xué)方法的對(duì)比分析[J];介入放射學(xué)雜志;2014年04期

3 任自強(qiáng);林軍;;頸內(nèi)動(dòng)脈顱內(nèi)段破裂致雙目失明1例[J];貴陽醫(yī)學(xué)院學(xué)報(bào);1996年01期

4 向選東;;閉合性頭部外傷的頸內(nèi)動(dòng)脈顱內(nèi)段損傷[J];國(guó)外醫(yī)學(xué).神經(jīng)病學(xué)神經(jīng)外科學(xué)分冊(cè);1988年04期

5 徐庚生;劉泉開;郝向陽;黃勤;陳恒;;頸內(nèi)動(dòng)脈顱內(nèi)段病變致嚴(yán)重鼻衄(附10例分析)[J];江西醫(yī)學(xué)院學(xué)報(bào);1988年04期

6 涂雪松;;頸內(nèi)動(dòng)脈顱內(nèi)段及分支的狹窄和血管介入治療[J];包頭醫(yī)學(xué);2012年03期

7 王舒陽;劉麗;高曉梅;;經(jīng)顱多普勒超聲在診斷頸內(nèi)動(dòng)脈顱內(nèi)段狹窄的臨床應(yīng)用[J];內(nèi)蒙古醫(yī)學(xué)雜志;2014年06期

8 葉子明;秦超;石勝良;程道賓;梁志堅(jiān);鄧曉;梁明輝;陳相仁;胡瑞婷;方爛基;;血管內(nèi)支架治療癥狀性頸內(nèi)動(dòng)脈顱內(nèi)段狹窄的臨床分析[J];中國(guó)神經(jīng)精神疾病雜志;2012年01期

9 李惠章,陳海云,張華,陳涓;老年人查體發(fā)現(xiàn)頸內(nèi)動(dòng)脈顱內(nèi)段鈣化的CT資料分析[J];中華老年醫(yī)學(xué)雜志;1996年06期

10 韓巧英,錢艷芳;155例老年病人頸內(nèi)動(dòng)脈顱內(nèi)段TCD檢查分析[J];中西醫(yī)結(jié)合心腦血管病雜志;2004年12期

相關(guān)碩士學(xué)位論文 前1條

1 葉子明;頸內(nèi)動(dòng)脈顱內(nèi)段狹窄支架成形術(shù)的臨床研究[D];廣西醫(yī)科大學(xué);2009年

，

本文編號(hào)：1869712