经颅彩色双功超声诊断脑动脉狭窄与脑血管造影的对比研究  

Comparative study on transcranial color duplex sonography and angiography in detection of cerebral arterial stenosis

作　　者：王敏忠[1] 刘雪平[1] 张镛[1] 孙虹[1] 王凤焰[1] 金超[2] 孔华富[2] 

机构地区：[1]山东省立医院神经内科,250021 [2]山东省医学影像学研究所

出　　处：《临床神经病学杂志》2001年第3期134-135,共2页Journal of Clinical Neurology

摘　　要：目的　验证经颅彩色双功超声 (TCCD)诊断大脑中动脉 (MCA)狭窄的可靠性。方法　对 16 8例行脑血管造影的脑血管病患者同时进行了 TCCD检查。结果　脑血管造影诊断狭窄的 MCA 18条 ,TCCD检出 15条有狭窄。造影未证实有狭窄的 MCA血管中 ,TCCD检出 2条有狭窄。TCCD诊断 MCA狭窄的敏感性和特异性为 83%和 88%。结论　 TCCD诊断 MCA狭窄准确性较好 ,优于经颅多普勒 (TCD)Objective To evaluate the reliability of transcranial color duplex sonography(TCCD) in the detection of stenosis of the middle cerebral artery(MCA).Method 168 patients with cerebrovascular di sease were underwent both cerebral angiography and TCCD examination.Result 18 stenosis of the MCA were diagnosed by angiography, 15 of the 18 stenosis were detected by TCCD. But 2 MCA stenosis diagnosed by TCCD were not proved by angiography. TCCD diagnosed MCA stenosis with sensitivity(83%) and specificity(88%) respectively.Conclusion MCA stenosis diagnosed by TCCD was better than by transcranial Doppler(TCD).

关 键 词：经颅彩色多功超声 经颅多普勒 血管造影 脑动脉疾病 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]