TCD检测脑梗死患者颅内脑动脉狭窄148例分析  

Clinical analysis on cerebral infarction combined with intracranial artery stenosis by transcranial color doppler ultrasound(TCD) in 148 cases

作　　者：李慧英[1] 蒋初明[1] 

机构地区：[1]北京航天总医院神经内科,100076

出　　处：《中国现代医药杂志》2006年第4期24-25,共2页Modern Medicine Journal of China

摘　　要：目的了解脑梗死患者颅内脑动脉狭窄或闭塞情况及其临床意义。方法对2005年1～7月在我院神经内科住院治疗的148例脑梗死患者进行TCD检测,将患者分为大面积脑梗死组(>3cm3)20例,小面积脑梗死组(≤3cm3)68例,腔隙性脑梗死组(<1.5cm3)60例。分别在颈部、颞窗、眼窗、枕窗检测,并对所测动脉进行鉴别分析。结果大面积脑梗死组和小面积脑梗死组血管狭窄率均显著高于腔隙性脑梗死组,且大面积脑梗死组颅内动脉狭窄情况显著重于小面积脑梗死组,均具有显著的统计学意义。结论颅内脑动脉硬化狭窄程度与患者病变严重程度呈正相关;TCD技术对于早期发现患者的颅内脑动脉狭窄及其二级预防具有极其重要的价值。Objective To investigate clinical significance and circumstances of cerebral artery stenosis or occlusion of cerebral infarction. Methods 148 patients with cerebral infarction were assessed respectively from January to July, 2005. All the patients underwent transcranial Doppler detection to discover intracranial artery stenosis, and were divided into three groups according to there acreage of infarction. The clinical data were compared between the three groups. Results There were significant differences in intracranial artery stenosis between the three groups. Conclusion The intracranial artery stenosis and severe nerve injury of cerebral infarction are closely related. The technology of TCD possesses clinical importance to detect early intracranial artery stenosis and sub-prophylaxes.

关 键 词：脑梗死 经颅多普勒超声 颅内脑动脉狭窄 

分 类 号：R743.33[医药卫生—神经病学与精神病学]