三维经颅多普勒超声在脑血管疾病中的应用研究  

Evaluation of the Diagnostic Criteria of Three-Dimentional Transcranial Doppler for Cerebrovascular Diseases

作　　者：翟路[1] 汤洪川[1] 余新光[2] 段和平[2] 张纪[2] 

机构地区：[1]军医进修学院南楼临床部三科 [2]军医进修学院神经外科

出　　处：《军医进修学院学报》1993年第2期103-105,共3页Academic Journal of Pla Postgraduate Medical School

摘　　要：采用三维经颅多普勒超声仪(3D-TCD),对132例不同脑血管疾病进行检测,其中68例行脑血管数字减影造影(DSA)对比分析。TCD检测诊断脑动静脉畸形(脑AVM)56例,脑梗塞23例,脑血管moyamoya病4例,颅内动脉瘤1例,老年高血压病30例。与DSA对比分析表明,TCD诊断符合率:脑AVM96.5％,脑梗塞92％,脑血管moyamoya病80％,颅内动脉瘤33.3％,老年高血压病并颅内动脉狭窄73.1％。这一结果表明,TCD对脑血管疾病的诊断具有很高敏感性。本文亦通过上述检测技术的对比综合分析,对脑AVM、脑梗塞、脑血管moyamoya病、高血压动脉硬化狭窄的3D-TCD改变特点及诊断价值,提出初步探讨。The intracranial arteries of 132 cases with cerebrovascular diseases (GVD) were studied by using 3D-TGD apparatus, of which 68 cases were also investigated by DSA.The results showed that 56 cases were diagnosed as AVM, 23 cases as cerebral infarction (CI), 30 cases as hypertension with cerebrovascular stenosis, 4 cases as moyamoya diseases, and 1 case as cerebral aneurysm. The diagnostic consistency between TOD and DSA was 96.5％ in AVM, 92％ in CI, 73.1％ in hypertension, 80％ in moyamoya disease, and 33.3％ in aneurysm respectively. The charateristic changes and the criteria of TCD for cerebrovascular diseases were studies.

关 键 词：脑血管疾病 诊断 多普勒超声 

分 类 号：R743[医药卫生—神经病学与精神病学]