中国卒中杂志
中國卒中雜誌
중국졸중잡지
CHINESE JOURNAL OF STROKE
2013年
12期
948-952
,共5页
魏立亚%宁彬%陈芸%刘俐
魏立亞%寧彬%陳蕓%劉俐
위립아%저빈%진예%류리
脑静脉窦血栓%颈内静脉%血流动力学%超声%多普勒
腦靜脈竇血栓%頸內靜脈%血流動力學%超聲%多普勒
뇌정맥두혈전%경내정맥%혈류동역학%초성%다보륵
Cerebral venous sinus thrombosis%Internal jugular vein%Hemodynamics%Ultrasonography%Doppler
目的探讨脑静脉窦血栓形成（cerebral venous sinus thrombosis，CVST）患者的颈内静脉（internal jugular vein，IJV）血流动力学超声改变。<br> 方法经磁共振静脉造影（magnetic resonance venography，MRV）和（或）脑血管造影（digital subtraction angiography，DSA）诊断CVST患者48例，分别行双侧颈内静脉超声检查，检查内容包括多发CVST患者双侧颈内静脉内径及平均流速，单纯上矢状窦或直窦CVST患者各项结果双侧平均值，计算血流量，并选取正常对照组28例，各项检查结果行统计学对比分析。<br> 结果多发CVST组患侧吸气相及呼气相颈内静脉内径无显著变化（P=0.398），多发CVST组健侧、上矢状窦或直窦CVST组双侧及健康对照组双侧颈内静脉内径吸气时增宽，呼气时变窄，差异有显著性；多发CVST组患侧颈内静脉内径较多发CVST组健侧（P=0.009）、上矢状窦或直窦CVST组（P=0.02）及对照组（P=0.006）颈内静脉内径变窄，差异有显著性。多发CVST组患侧颈内静脉横截面积小于多发CVST健侧（P=0.006）、上矢状窦或直窦CVST组（P=0.005）及对照组（P=0.001）；颈内静脉平均流速低于多发CVST健侧（P=0.015）、上矢状窦或直窦CVST组（P=0.019）及对照组（P=0.011）；颈内静脉的血流量也低于多发CVST健侧（P=0.011）、上矢状窦或直窦CVST组（P=0.028）及对照组（P=0.008），差异具有显著性。<br> 结论多发CVST患者患侧颈内静脉内径随呼吸相无明显变化，且患侧颈内静脉血流量减低。
目的探討腦靜脈竇血栓形成（cerebral venous sinus thrombosis，CVST）患者的頸內靜脈（internal jugular vein，IJV）血流動力學超聲改變。<br> 方法經磁共振靜脈造影（magnetic resonance venography，MRV）和（或）腦血管造影（digital subtraction angiography，DSA）診斷CVST患者48例，分彆行雙側頸內靜脈超聲檢查，檢查內容包括多髮CVST患者雙側頸內靜脈內徑及平均流速，單純上矢狀竇或直竇CVST患者各項結果雙側平均值，計算血流量，併選取正常對照組28例，各項檢查結果行統計學對比分析。<br> 結果多髮CVST組患側吸氣相及呼氣相頸內靜脈內徑無顯著變化（P=0.398），多髮CVST組健側、上矢狀竇或直竇CVST組雙側及健康對照組雙側頸內靜脈內徑吸氣時增寬，呼氣時變窄，差異有顯著性；多髮CVST組患側頸內靜脈內徑較多髮CVST組健側（P=0.009）、上矢狀竇或直竇CVST組（P=0.02）及對照組（P=0.006）頸內靜脈內徑變窄，差異有顯著性。多髮CVST組患側頸內靜脈橫截麵積小于多髮CVST健側（P=0.006）、上矢狀竇或直竇CVST組（P=0.005）及對照組（P=0.001）；頸內靜脈平均流速低于多髮CVST健側（P=0.015）、上矢狀竇或直竇CVST組（P=0.019）及對照組（P=0.011）；頸內靜脈的血流量也低于多髮CVST健側（P=0.011）、上矢狀竇或直竇CVST組（P=0.028）及對照組（P=0.008），差異具有顯著性。<br> 結論多髮CVST患者患側頸內靜脈內徑隨呼吸相無明顯變化，且患側頸內靜脈血流量減低。
목적탐토뇌정맥두혈전형성（cerebral venous sinus thrombosis，CVST）환자적경내정맥（internal jugular vein，IJV）혈류동역학초성개변。<br> 방법경자공진정맥조영（magnetic resonance venography，MRV）화（혹）뇌혈관조영（digital subtraction angiography，DSA）진단CVST환자48례，분별행쌍측경내정맥초성검사，검사내용포괄다발CVST환자쌍측경내정맥내경급평균류속，단순상시상두혹직두CVST환자각항결과쌍측평균치，계산혈류량，병선취정상대조조28례，각항검사결과행통계학대비분석。<br> 결과다발CVST조환측흡기상급호기상경내정맥내경무현저변화（P=0.398），다발CVST조건측、상시상두혹직두CVST조쌍측급건강대조조쌍측경내정맥내경흡기시증관，호기시변착，차이유현저성；다발CVST조환측경내정맥내경교다발CVST조건측（P=0.009）、상시상두혹직두CVST조（P=0.02）급대조조（P=0.006）경내정맥내경변착，차이유현저성。다발CVST조환측경내정맥횡절면적소우다발CVST건측（P=0.006）、상시상두혹직두CVST조（P=0.005）급대조조（P=0.001）；경내정맥평균류속저우다발CVST건측（P=0.015）、상시상두혹직두CVST조（P=0.019）급대조조（P=0.011）；경내정맥적혈류량야저우다발CVST건측（P=0.011）、상시상두혹직두CVST조（P=0.028）급대조조（P=0.008），차이구유현저성。<br> 결론다발CVST환자환측경내정맥내경수호흡상무명현변화，차환측경내정맥혈류량감저。
Objective To analyze the hemodynamics of internal jugular vein (IJA) by ultrasound in patients with cerebral venous sinus thrombosis (CVST). <br> Methods A total of 48 patients with CVST diagnosed by magnetic resonance venography (MRV) or digital subtraction angiography (DSA) underwent bilateral IJV ultrasound examination, including the diameters and average velocity of contralateral and ipsilateral IJV of multiple CVST and average results of bilateral IJV for superior sagittal sinus or straight sinus CVST. Bilateral blood flow of IJV was calculated. Twenty-eight cases of normal control group were selected. The test results were statistically analyzed. <br> Results Ipsilateral IJV diameter of multiple CVST did not change signiifcantly with the respiratory phase (P=0.398). IJV diameters in the inspiratory phase were signiifcantly larger than those in the expiratory phase of multiple CVST contralateral side, superior sagittal sinus or straight sinus CVST group and normal control group. Ipsilateral IJV diameters of multiple CVST was significantly smaller than the contralateral side (P=0.009), superior sagittal sinus or straight sinus CVST group (P=0.02)and normal control group(P=0.006). Ipsilateral IJV cross-sectional area of multiple CVST was smaller than the contralateral side (P=0.006), superior sagittal sinus or straight sinus CVST group (P=0.005) and normal control group (P=0.001). Ipsilateral IJV blood lfow velocity of multiple CVST was lower than the contralateral side (P=0.015), superior sagittal sinus or straight sinus CVST group (P=0.019) and normal control group (P=0.011). Ipsilateral IJV blood lfow of multiple CVST was lower than the contralateral side (P=0.011), superior sagittal sinus or straight sinus CVST group (P=0.028) and normal control group (P=0.008). <br> Conclusion Ipsilateral IJV diameter of multiple CVST does not change significantly with the respiratory phase. Ipsilateral IJV blood lfow of multiple CVST is reduced.
