经颅多普勒超声检测颅内动脉特殊结构三例  

Transcranial Doppler on detecting special structure of intracranial artery:three cases report

作　　者：黄辉龙 王红 丁勇民[1] 涂江龙[1] Huang Huilong;Wang Hong;Ding Yongmin;Tu Jianglong(Department of Neurology,the Second Affiliated Hospital of Nanchang University,Nanchang 330000,China;不详)

机构地区：[1]南昌大学第二附属医院神经内科,330000 [2]江西中医药大学附属医院脑病科

出　　处：《中国脑血管病杂志》2024年第7期476-479,492,共5页Chinese Journal of Cerebrovascular Diseases

摘　　要：经颅多普勒超声(TCD)作为检测颅内动脉狭窄或闭塞性病变的重要方法,以其价格低廉、操作简便等特点在临床上得到了广泛的应用。TCD应用范围包括但不限于颅内动脉狭窄或闭塞性病变的诊断与侧支循环评估、颈动脉内膜切除术中监测、脑死亡评估等,但TCD对于部分颅内动脉特殊结构血流改变的检测尚待完善。作者报道3例存在颅内动脉特殊结构的患者资料,基于医学影像对TCD血流频谱进行综合分析,旨在增加临床医师对类似患者的探查经验,提高脑血管超声的诊断水平。As an important method to detect intracranial arterial stenosis or occlusive disease,transcranial Doppler(TCD)has been widely used in clinical practice because of its low price and easy operation.The scope of application of TCD includes,but is not limited to,the diagnosis and collateral evaluation of intracranial artery stenosis or occlusive disease,intraoperative monitoring of carotid endarterectomy,assessment of brain death,etc.,but the characteristics of TCD blood flow changes of some special structures of intracranial arteries need to be improved.This paper presented 3 cases with special intracranial artery structures,and comprehensively analyzes the blood flow spectrum on TCD based on medical images,in order to improve clinicians′exploration experience on similar cases and the level of cerebrovascular ultrasound.

关 键 词：超声检查 多普勒 经颅 解剖变异 颅内动脉瘤 椎动脉 

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