CAJ | 학술논문

目的：探讨经颅多普勒超声（TCD）微泡实验在不明原因脑梗死患者中卵圆孔未闭（PFO）的检测价值。方法选取120例在我院诊断为不明原因脑梗死患者，进行微泡实验监测及经食管超声检查（TEE），进一步评估2种方法效果的差异。结果120例患者中，TCD检测微泡阳性为56例，而TEE为59例，且54例TCD微泡实验阳性患者均由TEE进一步诊断为PFO，而TCD阴性的患者TEE均未检测出PFO。二者在诊断PFO方面差异无统计学意义（P>0.05）。结论 TCD微泡实验在检测不明原因脑梗死患者PFO的阳性率与TEE相当，可以作为临床上安全非侵入性检测PFO的有效手段之一。
목적：탐토경로다보륵초성（TCD）미포실험재불명원인뇌경사환자중란원공미폐（PFO）적검측개치。방법선취120례재아원진단위불명원인뇌경사환자，진행미포실험감측급경식관초성검사（TEE），진일보평고2충방법효과적차이。결과120례환자중，TCD검측미포양성위56례，이TEE위59례，차54례TCD미포실험양성환자균유TEE진일보진단위PFO，이TCD음성적환자TEE균미검측출PFO。이자재진단PFO방면차이무통계학의의（P>0.05）。결론 TCD미포실험재검측불명원인뇌경사환자PFO적양성솔여TEE상당，가이작위림상상안전비침입성검측PFO적유효수단지일。
Objective To investigate the value of transcranial Doppler (TCD) ultrasound microbubble test in patients with unexplained cerebral infarction of detection of patent foramen orale (PFO). Methods Selected 120 cases of patients treated in our hospital, who diagnosed with cerebral infarction for microbubble test monitoring and transeso-phageal echocar-diography examination (TEE), and to evaluate the effect of the difference between the two methods. Results Among 120 patients, 56 cases were TCD microbubble test positive and the 54 cases confirmed by TEE. TEE found 59 cases of PFO. The statistical analysis had no statistical significance of the two method. Conclusion TCD microbubble test is as well as TEE in detecting cerebral infarctionwith PFO. It can be used as non-invasive and safely means to detecting cerebral infarctionpatients with PFO.