CAJ | 학술논문

目的：探讨多层螺旋CT联合彩色多普勒超声诊断中青年椎动脉型颈椎病的临床价值。方法将临床上诊断为椎动脉颈椎病的患者100例作为病例组，选择40例健康人群作为对照组，分别采用多层螺旋CT和彩色多普勒进行检查，对两种检查结果进行统计分析。结果(1)彩色多普勒超声检查：病例组的收缩期峰值流速(PSV)、椎动脉舒张末期流速（EDV）值显著低于对照组(P<0.05)；病例组的阻力指数(RI)、搏动指数(PI)值显著高于对照组(P<0.05)。(2) CT检查：病例组正常血管条、血管变细、血管迂曲、局限狭窄、管腔闭塞率显著高于对照组(P<0.05)。彩色多普勒超声检查病例组椎动脉内径显著小于对照组(P<0.05)；CT检查病例组椎体横突孔显著小于对照组(P<0.05)。结论彩色多普勒与多层螺旋CT诊断中青年椎动脉型颈椎病各具特点，两者相结合能够更加全面的对病情做出准确诊断。
목적：탐토다층라선CT연합채색다보륵초성진단중청년추동맥형경추병적림상개치。방법장림상상진단위추동맥경추병적환자100례작위병례조，선택40례건강인군작위대조조，분별채용다층라선CT화채색다보륵진행검사，대량충검사결과진행통계분석。결과(1)채색다보륵초성검사：병례조적수축기봉치류속(PSV)、추동맥서장말기류속（EDV）치현저저우대조조(P<0.05)；병례조적조력지수(RI)、박동지수(PI)치현저고우대조조(P<0.05)。(2) CT검사：병례조정상혈관조、혈관변세、혈관우곡、국한협착、관강폐새솔현저고우대조조(P<0.05)。채색다보륵초성검사병례조추동맥내경현저소우대조조(P<0.05)；CT검사병례조추체횡돌공현저소우대조조(P<0.05)。결론채색다보륵여다층라선CT진단중청년추동맥형경추병각구특점，량자상결합능구경가전면적대병정주출준학진단。
Objective To study the clinical value of multi-slice spiral CT combined with color Doppler ultra-sound in the diagnosis of cervical spondylosis of vertebral artery type in youth. Methods One hundred patients clini-cally diagnosed as cervical spondylosis of vertebral artery type were selected as the case group, and 40 healthy people were enrolled as the control group, which were all examined by multi-slice spiral CT and color Doppler ultrasound. The examination results were analyzed statistically. Results (1) Color Doppler ultrasound:the peak systolic velocity (PSV), vertebral artery end diastolic velocity (EDV) in the case group were significantly lower than those in the con-trol group (P<0.05);resistance index (RI), pulsatility index (PI) in the case group were significantly higher than those in the control group (P<0.05). (2) CT examination: The rates of normal vascular, thinned blood vessels, vascular tortu-osity, localized stenosis and occlusion of the lumen in the case group were significantly higher than those in the control group (P<0.05). Color Doppler ultrasound showed in the case group the vertebral artery diameter was significantly smaller than that in the control group (P<0.05);CT examination showed that vertebral transverse foramen in the case group was significantly less than that of the control group (P<0.05). Conclusion Color Doppler ultrasound and multi-slice spiral CT both have their own characteristics in the diagnosis of cervical spondylosis of vertebral artery type in youth. The combination of the two methods can be more comprehensive to make an accurate diagnosis of the disease.