彩色多普勒超声检测在硬脑膜动静脉瘘诊断中的应用  

Application of transcranial color Doppler ultrasonography to diagnosis of dural arteriovenous fistulas

作　　者：张小征[1] 莫雪红[1] 杨铭[1] 李俊[1] 潘力[1] 陈刚[1] 

机构地区：[1]中国人民解放军武汉总医院神经外科,武汉430070

出　　处：《中国临床神经外科杂志》2017年第3期135-138,共4页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨彩色经颅多普勒超声(TCCD)在硬脑膜动静脉瘘(DAVF)诊断中的应用价值。方法采用TCCD检测89例DAVF,分别检测颈部、颅内各血管,观察其血流动力学变化特征,并与DSA对照。结果 TCCD探测结果与DSA对照,明确诊断56例(63%,56/89),可疑17例(19%,17/89),阴性16例(18%,16/89);总检出率为82%。结论 TCCD可作为DAVF术前血流动力学检测、血管内栓塞术后疗效评估及随访的无创检测手段之一。Objective To explore the value of transcranial color Doppler ultrasonography （TCCD） to the diagnosis of dural arteriovenous fistulas （DAVFs）. Methods The hemodynamics of neck and intracranial vessels were detected by TCCD in 89 patients with DAVFs which were definitely diagnosed as by DSA. The outcomes of TCCD were compared with those of DSA. Results DAVFs were definitely diagnosed as by the TCCD in 56 patents （63%, 56/89）, and suspected in 17 （19%, 17/89）. TCCD did not find any abnormalities in 16 patients （18%, 16/89）. Conclusion TCCD is a non-invasive method to assess the hemodynamic of DAVFs preoperatively and assess the curative effect of endovascular embolization on DAVFs.

关 键 词：硬脑膜动静脉瘘 诊断 彩色经颅多普勒超声 数字减影血管造影 

分 类 号：R743.4[医药卫生—神经病学与精神病学] R445.1[医药卫生—临床医学]