彩色多普勒成象在颈动脉海绵窦瘘诊断和监测的应用  

Color Doppler Imaging in the diagnosis and follow-up of carotid cavernous sinus fistula

作　　者：吴中耀[1] 杨华胜[1] 

机构地区：[1]广州中山医科大学中山眼科中心,广州先烈路54号510060

出　　处：《眼科》1994年第3期131-135,共5页Ophthalmology in China

摘　　要：报告应用彩色多普勒成象(color Doppler imaging,CDI)对眼眶和颈动脉联合探查评估9例(10只眼)颈动脉海绵窦瘘。患者均经血管造影确诊。CDI 检查均发现患眼眼上静脉扩张伴有反向血流及低阻力动脉化频谱。血流动力学定量测定发现:7例颈内动脉海绵窦瘘眼上静脉高血流量、患侧颈内动脉血流量增加和阻力指数下降;2例硬脑膜动脉海绵窦瘘的眼上静脉低血流量,两侧颈内动脉血流动力学无明显改变。还讨论了 CDI 在颈动脉海绵窦瘘诊断、分类和监测的价值。The orbits and carotid arteries of 9 angiography confirmed cases of carotid cavernous sinus fistula (CCSF)were examined with color Doppler imaging (CDI)which demonstrated the dilation of superior ophthalmic veins(SOVs)of the affected eyes with retrograde blood flow and low resistance arterial Doppler waveforms.Quantitative hemodynamic deter- minations showed high blood flow in the SOVs of the 7 cases of internal carotid cavernous sinus fistula with high blood flow and low resistance in the internal carotid arteries(ICAs)involved.However, the 2 cases with meningeal artery cavernous sinus fistula had low blood flow in the SOVs and no significant differences between that of the ICAs of both sides.The value of CDI for the diagnosis,clas- sification and follow-up of CCSF was discussed.

关 键 词：多普勒超声 诊断成象 瘘 海绵窦 颈动脉疾病 

分 类 号：R770.43[医药卫生—眼科]