超声检查视神经鞘直径监测颅高压的研究进展  

Research Progress of Monitoring Cranial Hypertension with the Diameter of Optic Nerve Sheath by Ultrasound

作　　者：陶莹[1] 刘炯鸥[2] 崔艳[2] TAO Ying;LIU Jiong-ou;CUI Yan(Graduate student of Inner Mongolia medical university,Hohhot Inner Mongolia;Ultrasonic department of the first affiliated hospital of Inner Mongolia medical university,Hohhot Inner Mongolia)

机构地区：[1]内蒙古医科大学,内蒙古呼和浩特 [2]内蒙古医科大学第一附属医院超声科,内蒙古呼和浩特

出　　处：《世界最新医学信息文摘》2018年第72期124-126,共3页World Latest Medicine Information Electronic Version

摘　　要：颅高压是一种常见的危及生命的临床病理征,可以在多个神经或非神经系统中发生。监测颅内压(ICP)最精确的方法是通过脑室内或硬膜下压力直接侵入性的测量,这种检查通常在重症监护室或操作室里设置,有感染、出血等风险。现今已经提出了几种非侵入性的估测方法,计算机断层扫描(CT)、磁共振成像(MRI)、经颅多普勒(TCD)、脑电图(EEG),听力学和眼科技术等。然而,这些方法在预测颅内压方面的准确性是有限的,未能广泛应于于临床。近些年的研究发现视神经鞘超声对颅内高压的监测提供了一个很有前景的临床工具,本文就此进行综述如下。Intracranial hypertension is a common life-threatening clinicopathological sign, which can occur in multiple nerves or non-nervous systems.The most accurate way to monitor ICP is through intraventricular or subdural pressure direct invasive measurement, which is usually set up in intensive care unit or operating room, with infection, bleeding and other risks.Several noninvasive estimation methods have been proposed, such as computed tomography(CT), magnetic resonance imaging(MRI), transcranial Doppler imaging(TCD), electroencephalogram(EEG), audiology and ophthalmology, etc.However, the accuracy of these methods in predicting intracranial pressure is limited and should not be widely applied in clinical practice. Recent studies have found that optic nerve sheath ultrasound provides a promising clinical tool for monitoring intracranial hypertension.This review is summarized below.

关 键 词：视神经鞘直径(ONSD) 颅高压 超声检查 监测方法 

分 类 号：R445.1[医药卫生—影像医学与核医学] R742[医药卫生—诊断学]