经颅多普勒超声在急性前循环大动脉闭塞血管内治疗术后脑血流动力学评价中的研究进展  

Research advances in transcranial Doppler ultrasonography for cerebral hemodynamic assessment after endovascular treatment in acute anterior circulation large artery occlusion

作　　者：徐婕 陈心怡 沈盼盼 潘婕[2] 郭舜源(综述)[2] 耿昱(审校)[2] XU Jie;CHEN Xinyi;SHEN Panpan(The Second Clinical Medical College,Zhejiang Chinese Medical University,Hangzhou 310053,China)

机构地区：[1]浙江中医药大学第二临床医学院,浙江杭州310053 [2]浙江省人民医院神经内科,浙江杭州310014

出　　处：《中风与神经疾病杂志》2023年第10期896-901,共6页Journal of Apoplexy and Nervous Diseases

摘　　要：血管内治疗(EVT)可以显著改善急性大动脉闭塞(LAO)患者的预后,但仍有一半患者无法实现功能独立。经颅多普勒超声(TCD)是一种无创、便捷及可重复性高的脑血流动力学检查手段,近来研究表明TCD血流动力学监测对急性前循环LAO患者EVT术后脑过度灌注综合征(CHS)的发生具有预测价值,还可以监测血管再通情况、血管痉挛、脑自动调节以及侧支循环,评估远期预后以及改进临床治疗策略。本文围绕TCD在急性前循环LAO患者EVT术后脑血流动力学监测中的应用进行综述。Endovascular therapy(EVT)can significantly improve the prognosis of patients with acute large artery occlusion(LAO),but still half of the patients cannot achieve functional independence.Transcranial Doppler ultrasonogra-phy(TCD)is a non-invasive,convenient,and highly reproducible means of cerebral hemodynamic examination.Recent studies have shown that TCD monitoring of hemodynamics is of value in predicting the occurrence of cerebral hyperperfu-sion syndrome in patients with acute anterior circulationLAO,monitoring vascular recanalization,vasospasm,cerebral au-toregulation,and collateral circulation,and assessing long-term prognosis to improve clinical therapeutic strategies.This review focuses on the application of TCD in cerebral hemodynamic monitoring after EVT in patients with LAO.

关 键 词：经颅多普勒超声 血管内治疗 血流动力学 缺血性卒中 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R455.1[医药卫生—临床医学]