CAJ | 학술논문

[目的]探索颈性眩晕的椎动脉起始段（V1段）血管形态病理学改变。[方法]回顾1999年至2011年以头晕为主症，符合寰枕痛、恶心（呕吐）、耳鸣（耳塞）、视物模糊（视物旋转）4项症状中2项以上，经颅多普勒检测有椎-基底动脉血流速增快或减慢患者1680例，分析这些患者的椎-基底动脉CT血管造影三维重建技术（3D-CTA）的血管形态影像资料，观察椎动脉V1段血管形态病理学改变情况。[结果]颈性眩晕患者椎动脉V1段血管形态病理学有椎动脉纤细、椎动脉痉挛、椎动脉穿孔位置异常、椎动脉走行迂曲、椎动脉起始源异常、椎动脉瘤（或伴钙化）6种改变。[结论]颈性眩晕的椎动脉V1段存在6种血管形态病理学改变，根据这些病理改变，有助于在临床上判断预后，选择不同手法进行针对性地治疗，并指导患者在生活中的注意事项。
[목적]탐색경성현훈적추동맥기시단（V1단）혈관형태병이학개변。[방법]회고1999년지2011년이두훈위주증，부합환침통、악심（구토）、이명（이새）、시물모호（시물선전）4항증상중2항이상，경로다보륵검측유추-기저동맥혈류속증쾌혹감만환자1680례，분석저사환자적추-기저동맥CT혈관조영삼유중건기술（3D-CTA）적혈관형태영상자료，관찰추동맥V1단혈관형태병이학개변정황。[결과]경성현훈환자추동맥V1단혈관형태병이학유추동맥섬세、추동맥경련、추동맥천공위치이상、추동맥주행우곡、추동맥기시원이상、추동맥류（혹반개화）6충개변。[결론]경성현훈적추동맥V1단존재6충혈관형태병이학개변，근거저사병리개변，유조우재림상상판단예후，선택불동수법진행침대성지치료，병지도환자재생활중적주의사항。
Objective] To explore the pathomorphological change of the initial segment of vertebral artery(V1 part) related with cervical vertigo. [Method] Review 1680 cases who had vertigo as primary symptom, associated with either 2 or more symptoms as fol ows: neck pain, nausea(or vomit), tinnitus(or ear stuffiness), blurred vision(or rotation). Al the cases had TCD examination which showed over fast or too slow blood flow speed, and 3D-CTA examination(Three-Dimensional Computed Tomography Angiography). The pathomorphological change of the initial segment of vertebral artery was observed through 3D-CTA technology. [Results] There were 6 kinds of pathomorphological changes in the initial segment of vertebral artery. They were tenuous vertebral artery, spasm vertebral artery, abnormal position of vertebral artery entering cervical transverse foramen, circuitous vertebral artery, abnormal initiating terminal, vertebral artery aneurysm(or associated with calcification).[Conclusion]There are 6 kinds of pathomorphological changes in the initial segment of vertebral artery related with cervical vertigo. Under these pathological changes, it is helpful to judge the prognosis clinical y, select different manipulations for pointing treatment, and guide the patients' matters needing attention in life.