中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2010年
3期
73-75
,共3页
椎基底动脉供血不足%眩晕%数字减影血管造影%经颅多普勒超声
椎基底動脈供血不足%眩暈%數字減影血管造影%經顱多普勒超聲
추기저동맥공혈불족%현훈%수자감영혈관조영%경로다보륵초성
Vertebrobasilar Insufficiency%Vertigo%Digital substraction angiography%Transcranial Doppler
目的 探讨经颅多普勒超声(Transcranial Doppler TCD)与数字减影血管造影(digital substraction angiography DSA)在椎基底动脉供血不足(vertebrobasilar Insufficiency VBI)性眩晕中的应用价值,从而对眩晕的血管原因进行分析.方法 共33例患者,男23例,女10例,年龄29～75岁,平均(56.2±6.7)岁,符合椎基底动脉供血不足诊断标准,所有患者于1周内行TCD和DSA检查.结果 33例患者中TCD显示椎基底动脉系统异常29例(87.88%),DSA显示椎基底动脉异常12例(36.7%),颈内动脉系统异常14例(42.4%),无血管异常7例(21.2%).结论 椎基底动脉供血不足的原因可能是椎基底动脉系统病变,也可能是前循环缺血的表现或功能性因素,TCD对椎基底动脉供血不足具有重要诊断意义,DSA是诊断椎基底动脉供血不足的金标准.
目的 探討經顱多普勒超聲(Transcranial Doppler TCD)與數字減影血管造影(digital substraction angiography DSA)在椎基底動脈供血不足(vertebrobasilar Insufficiency VBI)性眩暈中的應用價值,從而對眩暈的血管原因進行分析.方法 共33例患者,男23例,女10例,年齡29～75歲,平均(56.2±6.7)歲,符閤椎基底動脈供血不足診斷標準,所有患者于1週內行TCD和DSA檢查.結果 33例患者中TCD顯示椎基底動脈繫統異常29例(87.88%),DSA顯示椎基底動脈異常12例(36.7%),頸內動脈繫統異常14例(42.4%),無血管異常7例(21.2%).結論 椎基底動脈供血不足的原因可能是椎基底動脈繫統病變,也可能是前循環缺血的錶現或功能性因素,TCD對椎基底動脈供血不足具有重要診斷意義,DSA是診斷椎基底動脈供血不足的金標準.
목적 탐토경로다보륵초성(Transcranial Doppler TCD)여수자감영혈관조영(digital substraction angiography DSA)재추기저동맥공혈불족(vertebrobasilar Insufficiency VBI)성현훈중적응용개치,종이대현훈적혈관원인진행분석.방법 공33례환자,남23례,녀10례,년령29～75세,평균(56.2±6.7)세,부합추기저동맥공혈불족진단표준,소유환자우1주내행TCD화DSA검사.결과 33례환자중TCD현시추기저동맥계통이상29례(87.88%),DSA현시추기저동맥이상12례(36.7%),경내동맥계통이상14례(42.4%),무혈관이상7례(21.2%).결론 추기저동맥공혈불족적원인가능시추기저동맥계통병변,야가능시전순배결혈적표현혹공능성인소,TCD대추기저동맥공혈불족구유중요진단의의,DSA시진단추기저동맥공혈불족적금표준.
Objective To study the value of TCD and CVA on diagnosing vertebrobasilar Insufficiency(VBI) ,then analyse the vascular reason of vertigo. Methods 33 cases patients which were diagnosed as VBI( m 23 cases, f 10 cases) (56.2 ± 6.7 years old)were examed by TCD, DSA in one week. Results TCD showed vertebrobasilar artery abnormalitiesin 29 cases (87.88%), DSA showed vertebrobasilar artery abnormalities in 12 cases ( 36. 36% ). crotid artery system abnormalities 14cases ( 42.42% ), the others were normalities (21.21%). Conclusion The reason of VBI is perhaps caused by vertebrobasilar artery disease or carotid artery disease, or functional disease. TCD have important role on diagnosising VBI, DSA is gorden standard of diagnosising VBI.
