CAJ | 학술논문

目的：探讨经颅多普勒超声（ transcranial Doppler sonography ， TCD ）转颈试验在颈性眩晕诊断中的价值。方法选择头晕患者133例，其中颈性眩晕（观察组）67例，其他眩晕（对照组）66例。所有患者均行颈椎X线、MRI和椎动脉磁共振血管造影术以及TCD常规检查和TCD转颈试验。结果2组患者的颈部外伤病史、骨质增生、颈椎曲度异常、颈椎不稳、椎间盘突出的异常百分比无显著差异，颈痛和磁共振血管造影术椎动脉受压百分比差异有统计学意义（P＜0．05）。2组患者的常规TCD检测结果差异无统计学意义（P＞0．05）。观察组患者TCD转颈试验阳性率为80．60％（54/67），对照组为4．55％（3/66），2组间差异有统计学意义（P＜0．01）。结论 TCD转颈试验有助于颈性眩晕的诊断，可作为颈性眩晕诊断的一个客观指标。
목적：탐토경로다보륵초성（ transcranial Doppler sonography ， TCD ）전경시험재경성현훈진단중적개치。방법선택두훈환자133례，기중경성현훈（관찰조）67례，기타현훈（대조조）66례。소유환자균행경추X선、MRI화추동맥자공진혈관조영술이급TCD상규검사화TCD전경시험。결과2조환자적경부외상병사、골질증생、경추곡도이상、경추불은、추간반돌출적이상백분비무현저차이，경통화자공진혈관조영술추동맥수압백분비차이유통계학의의（P＜0．05）。2조환자적상규TCD검측결과차이무통계학의의（P＞0．05）。관찰조환자TCD전경시험양성솔위80．60％（54/67），대조조위4．55％（3/66），2조간차이유통계학의의（P＜0．01）。결론 TCD전경시험유조우경성현훈적진단，가작위경성현훈진단적일개객관지표。
Objective To explore the value of the transcranial Doppler sonography ( TCD) turning-neck tests on the diag-nosis of the cervical vertigo .Methods A total of 133 patients who suffered vertigo were selected in this investigation , in which 67 patients suffered cervical vertigo in observe group and 66 others suffered other kinds of vertigo in control group , and all of them were tested by cervical X-ray , cervical MRI , magnetic resonance angiography ( MRA) of vertebral artery , regular TCD test and TCD turning-neck tests .Results There had no prominent difference between 2 group in the abnormal percent-age of neck injury history , hyperosteogeny , cervical curve abnormal , the unsteadiness of cervical vertebrae and lumbar disc herniation .The difference of the percentage of cervicodynia and vertebral artery compression showed by MRA between 2 group had statistical significance(P<0.05) .The results of regular TCD test between 2 group had no difference(P>0.05).The positive rate of the TCD turning-neck tests in observe group was 80.60%(54/67), while it was 4.55%(3/66) in control group, and the difference had statistical significance (P<0.01).Conclusion The TCD turning-neck tests is helpful for the diagnosis of the cervical vertigo and will be one of objective indicators of the diagnosis .