本文關(guān)鍵詞： 頸內(nèi)動(dòng)脈狹窄 頸總動(dòng)脈 血流動(dòng)力學(xué)　出處：《山東醫(yī)藥》2017年36期 　論文類(lèi)型：期刊論文

【摘要】：目的探討頸總動(dòng)脈血流動(dòng)力學(xué)參數(shù)判斷頸內(nèi)動(dòng)脈狹窄程度的價(jià)值。方法選擇單側(cè)頸內(nèi)動(dòng)脈中度及以上狹窄或閉塞、對(duì)側(cè)同名動(dòng)脈無(wú)狹窄或輕度狹窄者255例,根據(jù)頸內(nèi)動(dòng)脈狹窄程度分為頸內(nèi)動(dòng)脈中度狹窄98例(中度組)、重度狹窄89例(重度組)、閉塞68例(閉塞組)。分別測(cè)量各組頸總動(dòng)脈收縮期血流峰值(PSV)、舒張末期血流速度(EDV)、阻力指數(shù)(RI)、血管內(nèi)徑(D)、血流量(BFV),并分析各指標(biāo)與頸內(nèi)動(dòng)脈狹窄程度的關(guān)系。結(jié)果重度組和閉塞組患側(cè)頸總動(dòng)脈PSV、EDV、BFV明顯低于同組健側(cè)頸總動(dòng)脈,RI明顯高于同組健側(cè)頸總動(dòng)脈(P均0.05)。重度組和閉塞組患側(cè)頸總動(dòng)脈PSV、EDV、BFV明顯低于中度組患側(cè)頸總動(dòng)脈,RI明顯高于中度組患側(cè)頸總動(dòng)脈(P均0.05)。相關(guān)分析顯示,頸內(nèi)動(dòng)脈狹窄程度與頸總動(dòng)脈EDV、BFV呈負(fù)相關(guān)關(guān)系(r分別為-0.893、-0.723,P均0.01),與頸總動(dòng)脈RI呈正相關(guān)關(guān)系(r=0.853,P0.05),與頸總動(dòng)脈PSV、D無(wú)明顯相關(guān)性(r分別為0.536、0.324,P均0.05)。結(jié)論頸總動(dòng)脈EDV、BFV可用于評(píng)價(jià)頸內(nèi)動(dòng)脈狹窄程度,尤其是頸內(nèi)動(dòng)脈閉塞。
[Abstract]:Objective to evaluate the value of common carotid artery hemodynamic parameters in judging the degree of internal carotid artery stenosis. Methods 255 cases of unilateral internal carotid artery stenosis or occlusion without stenosis or slight stenosis of the contralateral artery with the same name were selected. According to the degree of internal carotid artery stenosis, 98 cases of internal carotid artery stenosis (moderate group), 89 cases of severe stenosis (severe group) and 68 cases of occlusion (occlusion group) were divided into two groups. The blood flow velocity, resistance index (RI), blood flow volume (BFV) and blood flow volume (BFV) were analyzed. Results the BFV of common carotid artery in severe group and occlusion group was significantly lower than that in the control group, and the RI of common carotid artery in normal side was significantly higher than that in control group. In the same group, the normal common carotid artery (P < 0.05), the common carotid artery (PSV) EDV (BFV) in the severe group and the occlusion group (P < 0.05) were significantly lower than those in the moderate group (P < 0.05). There was a negative correlation between the degree of stenosis of internal carotid artery and EDVV BFV of common carotid artery (r = -0.893t -0.723), a positive correlation with RI of common carotid artery (r = 0.853N, P 0.05), and no significant correlation with common carotid artery (PSV) D, respectively (r = 0.5360.3244P = 0.050.Conclusion EDV BFV of common carotid artery can be used to evaluate common carotid artery. Degree of stenosis of internal carotid artery, Especially internal carotid artery occlusion.
【作者單位】： 山東中醫(yī)藥大學(xué)附屬醫(yī)院;兗礦集團(tuán)總醫(yī)院;
【分類(lèi)號(hào)】：R743.3

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 李麗;張旭;;應(yīng)用彩色多普勒超聲對(duì)頸內(nèi)動(dòng)脈狹窄的診斷[J];中國(guó)現(xiàn)代醫(yī)生;2009年28期

2 吳明曉;郭發(fā)金;蔣文莉;韓秀婕;;三維能量多普勒成像診斷老年人頸內(nèi)動(dòng)脈狹窄的應(yīng)用價(jià)值[J];中華醫(yī)學(xué)超聲雜志(電子版);2012年04期

3 馬志忠,朱克,匡培根;頸內(nèi)動(dòng)脈狹窄的臨床分析[J];北京醫(yī)學(xué);1984年02期

4 焦力群,凌鋒,張鴻祺,繆中榮,董白晶,張鵬,宋慶斌,張洋;雙側(cè)頸內(nèi)動(dòng)脈狹窄的側(cè)枝循環(huán)特點(diǎn)分析[J];醫(yī)學(xué)影像學(xué)雜志;2004年11期

5 孫曉培,許晶,宋凡,韓杰,胡志云,梁戰(zhàn)華;頻發(fā)短暫性腦缺血發(fā)作與頸內(nèi)動(dòng)脈狹窄關(guān)系的研究[J];中國(guó)腦血管病雜志;2005年05期

6 李志丹;孫華山;;頸內(nèi)動(dòng)脈狹窄支架前后血壓控制3例探討[J];中國(guó)社區(qū)醫(yī)師(醫(yī)學(xué)專(zhuān)業(yè)半月刊);2008年21期

7 曹驊;石正洪;郭佳;劉倩;;彩超與血管造影對(duì)顱外段頸內(nèi)動(dòng)脈狹窄診斷的相關(guān)性比較[J];蘭州大學(xué)學(xué)報(bào)(醫(yī)學(xué)版);2009年04期

8 張玉秋;胡麗興;楊麗娜;;頸內(nèi)動(dòng)脈狹窄與糖尿病視網(wǎng)膜病變的相關(guān)性[J];臨床眼科雜志;2010年05期

9 王，

本文編號(hào)：1546989