超声检查对眼缺血综合征颈动脉支架植入术后球后血管血流动力学参数的评价作用  

Evaluation of hemodynamic parameters by ultrasound for post-operative patients with ocular ischemia syndrome

作　　者：张强[1] 申向辉[1] 王辉[1] 王海波[1] 侯晓英[1] 孟艳枝 ZHANG Qiang;SHEN Xianghui;WANG Hui(Function Department of Handan Central Hospital,Handan 056001,China)

机构地区：[1]邯郸市中心医院功能科,河北邯郸056001

出　　处：《中风与神经疾病杂志》2020年第5期445-448,共4页Journal of Apoplexy and Nervous Diseases

基　　金：河北省2017年度医学科学研究重点课题(课题编号:20171136)。

摘　　要：目的探讨超声检查对眼缺血综合征(ocular ischemic syndrome,OIS)术后血流动力学参数的评价作用。方法按照眼动脉血流方向将68例OIS患者分为正向血流组(n=41)和反向血流组(n=27)。采用超声检查颈动脉狭窄率和血流动力学参数。结果手术前,正向血流组颈动脉狭窄率明显低于反向血流组(P<0.05)。手术前后,正向血流组睫状后动脉PSV和BCVA明显高于反向血流组(P<0.05)。两组手术后眼动脉、睫状后动脉和视网膜中央动脉PSV均明显高于手术前(P<0.05)。正向血流组手术后BCVA较手术前明显增高(P<0.05)。结论超声可准确评价颈动脉狭窄程度、PSV改变,可为血流动力学改变的评价提供参考价值。Objective To evaluate the role of ultrasound in evaluating hemodynamic parameters for post-operative patients with ocular ischemia syndrome.Methods to direction of ophthalmic artery blood flow,68 cases of OIS patients were divided into forward blood flow group(n=41)and reverse blood flow group(n=27).The carotid stenosis rate and PSV using ultrasound and BCVA were detected.Results Before operation,carotid artery stenosis rate of forward blood flow group was significantly lower than reverse blood flow group(P<0.05)Before and after operation,posterior ciliary artery PSV and BCVA of forward blood flow group was obviously higher than reverse blood flow group(P<0.05).The ophthalmic artery,posterior ciliary artery and central retinal artery PSV after operation in the two groups were significantly higher than those before operation(P<0.05).BCVA after operation in forward blood flow group was significantly higher than before operation(P<0.05).Conclusion Ultrasound can accurately evaluate carotid artery stenosis,PSV,and provide reference value for evaluating hemodynamic changes.

关 键 词：眼缺血综合征 超声检查 眼动脉 血流动力学 

分 类 号：R771.3[医药卫生—眼科]