经颅多普勒超声在老年人椎动脉型颈椎病的诊断及治疗中的价值  

Assessment of transcranial doppler sonography for vertebral artery type of cervical vertebra syndrome in the elderly

作　　者：张建宏[1] 蒋彬 范建中[1] 杨哲[1] 

机构地区：[1]第一军医大学附属南方医院康复医学科,广州510515 [2]广西桂林市第四人民医院康复科

出　　处：《中华物理医学与康复杂志》2001年第2期99-101,共3页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的　探讨经颅多普勒超声 (TCD)对老年人椎动脉型颈椎病的诊断及疗效评定价值。方法按临床诊断标准收集椎动脉型颈椎病患者 3 6例 ,平均年龄 5 3 .6岁 ,对照组为年龄相近的健康人 2 8例。采用MT -10 0 0型彩色经颅多普勒超声仪于治疗前后对基底动脉 (BA)、椎动脉 (VA )、大脑后动脉 (PCA)、大脑前动脉 (ACA)和大脑中动脉 (MCA)的血流峰速度 (Vp)、血流平均速度 (Vm)及血流频谱图像进行检测分析。结果　疾病组椎基底动脉 (VBA)流速明显低于对照组 ( P <0 .0 5 )。疾病组TCD异常率为 80 .6% ( 2 9例 /3 6例 ) ,以VBA流速降低为主要特点。治疗后椎基底动脉系统血流速度明显改善 (P <0 .0 5 )。结论TCD可作为老年人椎动脉型颈椎病患者诊断及疗效评定的参考依据。Objective To explore the assessment of transcranial Doppler sonography (TCD) for the vertebral artery type of cervical vertebra syndrome in the elderly. Methods Based on the criteria of clinical diagnosis, 36 patients with the vertebral artery type of cervical vertebra syndrome and 28 healthy persons were examined by MT 1000 type TCD. The blood flow velocities,pulsatility indexes and frequency spectrum of the basilar artery (BA), vertebral artery (VA), posterior cerebral artery (PCA), anterior cerebral artery (ACA) and middle cerebral artery (MCV) were detected and analyzed before and after rehabilitation treatment. Results The blood flow velocities of vertebrobasilar artery (VBA) of the patient group were much lower than that of the control group (P< 0.05 ). The abnormal rate of the patient group was 80.6 % (29 cases/36 cases). The main abnormal manifestation was decrease of blood flow velocities of vertebrobasilar artery. The blood flow velocities of vertebrosolar artery of the patient group were improved markedly after rehabilitation treatment (P< 0.05 ). Conclusion TCD could provide valuable references for the diagnosis and rehabilitation assessment for the vertebral artery type of cervical vertebra syndrome in the elderly.

关 键 词：椎动脉型颈椎病 经颅多普勒超声 诊断 治疗 老年人 

分 类 号：R681.55[医药卫生—骨科学] R445.1[医药卫生—外科学]