颈部血管彩超对缺血性脑血管病患者颈部动脉血管病变的诊断价值  

The value of neck vascular ultrasound in patients with ischemic cerebrovascular disease for cervical artery lesions

作　　者：孙婷[1] 郭君[1] 刘焱[1] 孟秋玲[1] 仲挥[1] 郭德颖[1] 董超[1] 

机构地区：[1]北京大学航天临床医学院超声科,100049

出　　处：《中国现代医药杂志》2010年第11期41-43,共3页Modern Medicine Journal of China

摘　　要：目的探讨颈部血管彩超对缺血性脑血管病患者颈部动脉血管病变的诊断价值。方法 51例经头部CT或MRI及临床确诊的缺血性脑血管病患者,均进行了多层螺旋CT血管成像(CTA)和颈部血管超声(CVUS)检查,以CTA为对照,评价颈部血管彩超的诊断价值。结果 CTA和CVUS发现颈动脉狭窄及闭塞分别为20例、17例,椎动脉狭窄或发育异常分别为29例、15例。结论对于颈动脉狭窄的评价,颈部血管彩超和CTA具有很好的一致性,但颈部血管彩超对椎动脉病变的评价不足,联合使用CVUS和CTA可以更全面地评价缺血性脑血管病患者的颈部动脉病变。Objective To investigate the value of neck vascular ultrasound in patients with ischemic cerebrovascular disease for cervical artery lesions.Methods 51 cases by head CT or MRI and clinical diagnosis of ischemic cerebrovascular disease,were carried out CTA and neck vascular ultrasound（CVUS） examination,CTA as a control to evaluate the diagnostic value of color Doppler ultrasound of neck vessels.Results CTA,CVUS diagnosis of carotid artery stenosis and occlusion were 20 cases,17 cases.Vertebral artery stenosis or dysplasia were 29 cases,15 cases.Conclusion For the evaluation of carotid artery stenosis,cevix vascular ultrasound and CTA has a good consistency,but the neck vascular ultrasound evaluation of vertebral artery is insufficient.CVUS can be used in combination CTA and more comprehensive evaluation of ischemic vascular disease in patients with carotid artery disease.

关 键 词：缺血性脑血管病 颈部血管彩超 CTA 

分 类 号：R743.3[医药卫生—神经病学与精神病学]