联合应用彩超和经颅多普勒诊断椎基底动脉供血不足  

Combined Application of Color Doppler Ultrasound and Transcranial Doppler in the Diagnosis of Vertebrobasilar Insufficiency

作　　者：魏来 WEI Lai(TCD Room,Caoxian People's Hospital,Caoxian,Shandong Province,274400 China)

机构地区：[1]山东省曹县人民医院TCD室

出　　处：《中外医疗》2019年第11期13-15,共3页China & Foreign Medical Treatment

摘　　要：目的探讨椎基底动脉供血不足临床诊断中彩超联合经颅多普勒超声的应用效果。方法便利选择该院于2017年12月—2018年11月期间收治的椎基地动脉供血不足患者107例,分别对患者行经颅多普勒超声诊断(A组)、彩超诊断(B组)、彩超+经颅多普勒超声诊断(C组),以患者的手术病理检查结果为金标准,对比3组诊断方案的检出有效率。结果A组诊断有效率为59.81%(64例),B组诊断有效率为70.09%(75例),C组诊断有效率为98.13%(105例),手术病理结果为100.00%(107例),A组与手术病理检查比较,差异有统计学意义(χ^2=13.814,P<0.05);A组与C组比较差异有统计学意义(χ^2=10.714,P<0.05);B组与手术病理检查比较差异有统计学意义(χ^2=9.391,P<0.05);B组与C组比较差差异有统计学意义(χ^2=6.533,P<0.05);C组与手术病理检查比较差异无统计学意义(χ^2=1.018,P>0.05)。结论相对比彩超、经颅多普勒超声单独诊断而言,对椎基底动脉供血不足患者行两种方案的联合诊断,检出率更好,可以减少误诊、漏诊,为患者的后续治疗提供更有价值的参考信息。Objective To investigate the effect of color Doppler ultrasound combined with transcranial Doppler ultrasound in the clinical diagnosis of vertebrobasilar insufficiency. Methods A total of 107 patients with vertebral base arterial insufficiency admitted to our hospital from December 2017 to November 2018 were convenient and enrolled. The patients underwent transcranial Doppler ultrasound (group A), color Doppler ultrasound (group B), and color ultrasound transcranial Doppler ultrasound diagnosis (group C), the patient's surgical pathological examination results as the gold standard, compared with the three groups of diagnostic programs efficacy. Results The diagnostic rate of group A was 59.81%(64 cases), the effective rate of diagnosis in group B was 70.09%(75 cases), the effective rate of diagnosis in group C was 98.13%(105 cases), and the pathological result was 100.00%(107 cases). The difference between the group A and the surgical pathological examination was statistically significant (χ^2=13.814, P<0.05). The difference between the group A and the group C was statistically significant (χ^2=10.714, P<0.05);Group B and surgical pathology had statistical significance (χ^2=9.391, P<0.05). The difference between the group B and the group C was statistically significant (χ^2=6.533, P<0.05). There was no statistical difference between the group C and the surgical pathology(χ^2=1.018, P>0.05). Conclusion Compared with color Doppler ultrasound and transcranial Doppler ultrasound alone, the combined diagnosis of vertebrobasilar insufficiency patients with two regimens has a better detection rate, which can reduce misdiagnosis and missed diagnosis, and provide more follow-up treatment for patients, with valuable reference information.

关 键 词：椎基底动脉供血不足 彩色多普勒超声 经颅多普勒超声 联合应用 检出率 

分 类 号：R454.3[医药卫生—治疗学]