CAJ | 학술논문

超声技术常应用于脑动静脉畸形诊断、治疗以及随访.本文回顾了用超声技术测量脑血管血流速度、流量、脉搏指数、阻力指数、血管反应性等指标以及其相关影响因素,总结了超声技术在脑动静脉畸形的术前评估、术中监测以及术后随访中的应用.尽管超声技术目前不能作为脑动静脉畸形的筛选手段,但是,如果根据脑动静脉畸形病变特性分组选择检查方法,对比患者在手术前、后,供血侧与非供血侧以及患者与健康人群之间的检查结果,配合其它检查手段以及不同的超声成像技术,超声技术则能提供更为可靠的诊断信息.随着新的超声技术的出现和发展,超声在动静脉畸形方面的应用会更加广泛.
초성기술상응용우뇌동정맥기형진단、치료이급수방.본문회고료용초성기술측량뇌혈관혈류속도、류량、맥박지수、조력지수、혈관반응성등지표이급기상관영향인소,총결료초성기술재뇌동정맥기형적술전평고、술중감측이급술후수방중적응용.진관초성기술목전불능작위뇌동정맥기형적사선수단,단시,여과근거뇌동정맥기형병변특성분조선택검사방법,대비환자재수술전、후,공혈측여비공혈측이급환자여건강인군지간적검사결과,배합기타검사수단이급불동적초성성상기술,초성기술칙능제공경위가고적진단신식.수착신적초성기술적출현화발전,초성재동정맥기형방면적응용회경가엄범.
Ultrasound is used in the diagnosis, treatment and follow-up of cerebral arteriovenous malformation (AVM). Several parameters including flow velocity, flow volume, resistance index, pulsatility index, vasomotor reactivity and their influencing factors are reviewed. The applications of ultrasound in the preoperative evaluation, intraoperative monitor and postoperative follow-up of AVM, are summarized. Although some limits exist, ultrasound can provide more reliable information about AVM, if lesions are classified according to their characteristics, compared in different conditions between preoperation and postoperation, feeding and non-feeding side, patients and healthy adults, and if ultrasound method is combined with other examinations and different developed ultrasound techniques. With the appearance and development of new ultrasound technique, its application will be wider in management of AVM.