经颅多普勒超声、经颅彩色超声及彩色多普勒超声联合应用诊断椎动脉狭窄的价值  

DIAGNOSTIC VALUES OF USING TRANSCRANIAL DOPPLER SONOGRAPHY,TRANSCRANIAL COLOR-CODED DUPLEX SONOGRAPHY AND COLOR DOPPLER FLOW IMAGING IN NARROWING OF VERTEBRAL ARTERY

作　　者：李月明[1] 陈妹红[1] 李静[1] 王安军[1] 杨颖[1] 马腾[1] 

机构地区：[1]河北省保定市第一中心医院超声科,河北保定071000

出　　处：《河北医科大学学报》2013年第7期786-788,共3页Journal of Hebei Medical University

摘　　要：目的探讨经颅多普勒(transcranial Doppler,TCD)、经颅彩色超声(transcranial color-coded duplex,TCCD)和彩色多普勒超声(color Doppler flow imaging,CDFI)联合诊断椎动脉狭窄的价值。方法选取经TCD、TCCD、CDFI 3种方法联合诊断椎基底动重度狭窄患者200例,于住院1周内进行数字减影血管造影(digitalsubtraction angiography,DSA)检查,将2种诊断方法的检查结果进行对比分析。结果 CDFI检出椎动脉开口重度狭窄共168例,与DSA符合率为89%;椎间段重度狭窄2例,与DSA符合率为100%,其中1例为颈椎病外压性造成,1例为椎动脉硬化性斑块形成造成的。结论 TCD、TCCD和CDFI联合应用能够进一步提高椎动脉狭窄诊断的准确性,可以作为筛选椎动脉狭窄的主要方法 ,为临床诊疗提供方便、无创、准确的影像学依据。Objective To explore the diagnostic values of using transcranial Doppler （TCD） , transcranial color-coded duplex sonography （TCCD） and color Doppler flow imaging （CDFI） in the narrowing of vertebral artery. Methods The study was performed in 200 severe vertebral basal artery stenosis patients who were diagnosed by TCD, TCCD and CDFI, then, digital subtraction angiography （DSA） examination within a week after the hospital was conducted. The two inspection results were compared and analyzed. Results There were 168 severe vertebral artery stenosis patients whose coincidence rate with digital subtraction angiography （DSA） was 89%; There were also 2 severe intervertebral segment stenosis patients whose coincidence rate with digital subtraction angiography （DSA） reached 100%. One of the two patients was caused by the cervical spondylosis outside pressure ,while the other patient was due to the formation of the vertebral artery sclerosis plaques. Conclusion The combined use of the TCD, TCCD and CDFI can improve the diagnostic accuracy of the narrowing of vertebral artery, which can be regarded as the main way to screen the narrowing of vertebral artery for convenient,noninvasive and accurate imaging basis in clinical treatments.

关 键 词：椎底动脉供血不足 超声检查 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]