中国循证心血管医学杂志
中國循證心血管醫學雜誌
중국순증심혈관의학잡지
CHINESE JOURNAL OF EVIDENCE-BASES CARDIOVASCULAR MEDICINE
2015年
3期
356-358
,共3页
颈动脉狭窄%介入治疗%彩色多普勒血流显像%血流参数
頸動脈狹窄%介入治療%綵色多普勒血流顯像%血流參數
경동맥협착%개입치료%채색다보륵혈류현상%혈류삼수
Carotid stenosis%Intervention treatment%Color Doppler flow imaging%Hemodynamic parameters
目的：探讨彩色多普勒血流显像分析在颈动脉狭窄介入治疗前后的应用价值。方法选自2009年2月至2013年8月在汉中市人民医院心血管科住院治疗的缺血性脑血管疾病患者120例为观察组，其中男性68例，女性52例，年龄43~76岁，平均（59.41±6.15）岁。同期选择健康体检者120例作为对照组。两组均行常规超声与多普勒血流显像检测，包括搏动指数（PI）、阻力指数（RI）、收缩期峰值流速（PSV）和舒张末期容积（EDV）和内膜-中膜厚度（IMT）。观察组行介入治疗，观察预后与血流参数的变化。结果观察组较对照组IMT增加[（1.06±0.32）mm vs.（0.75±0.15）mm]，斑块发生率升高（59.2％vs.12.5%），差异有统计学意义（P均＜0.05）。与对照组比较，观察组EDV下降，PSV与RI升高，分别为[（11.68±1.00）cm/s vs.（6.35±0.85）cm/s]，[（34.56±4.52）cm/s vs.（58.44±5.12） cm/s]，[（0.68±0.20）vs.（0.89±0.22）]，差异有统计学意义（P均＜0.05）。通过影像学分析，观察组在血管狭窄处血流束变细，色彩明亮，出现束腰征；狭窄较重者从动脉节段开始血流显影较其他节段暗淡。观察组均顺利完成介入治疗后痊愈出院，斑块明显消失。同时介入后患者的血流参数值均逐渐恢复正常。结论颈动脉狭窄患者应用彩色多普勒血流显像能有效显示血流变化与反映介入治疗效果，具有重要的临床应用价值。
目的：探討綵色多普勒血流顯像分析在頸動脈狹窄介入治療前後的應用價值。方法選自2009年2月至2013年8月在漢中市人民醫院心血管科住院治療的缺血性腦血管疾病患者120例為觀察組，其中男性68例，女性52例，年齡43~76歲，平均（59.41±6.15）歲。同期選擇健康體檢者120例作為對照組。兩組均行常規超聲與多普勒血流顯像檢測，包括搏動指數（PI）、阻力指數（RI）、收縮期峰值流速（PSV）和舒張末期容積（EDV）和內膜-中膜厚度（IMT）。觀察組行介入治療，觀察預後與血流參數的變化。結果觀察組較對照組IMT增加[（1.06±0.32）mm vs.（0.75±0.15）mm]，斑塊髮生率升高（59.2％vs.12.5%），差異有統計學意義（P均＜0.05）。與對照組比較，觀察組EDV下降，PSV與RI升高，分彆為[（11.68±1.00）cm/s vs.（6.35±0.85）cm/s]，[（34.56±4.52）cm/s vs.（58.44±5.12） cm/s]，[（0.68±0.20）vs.（0.89±0.22）]，差異有統計學意義（P均＜0.05）。通過影像學分析，觀察組在血管狹窄處血流束變細，色綵明亮，齣現束腰徵；狹窄較重者從動脈節段開始血流顯影較其他節段暗淡。觀察組均順利完成介入治療後痊愈齣院，斑塊明顯消失。同時介入後患者的血流參數值均逐漸恢複正常。結論頸動脈狹窄患者應用綵色多普勒血流顯像能有效顯示血流變化與反映介入治療效果，具有重要的臨床應用價值。
목적：탐토채색다보륵혈류현상분석재경동맥협착개입치료전후적응용개치。방법선자2009년2월지2013년8월재한중시인민의원심혈관과주원치료적결혈성뇌혈관질병환자120례위관찰조，기중남성68례，녀성52례，년령43~76세，평균（59.41±6.15）세。동기선택건강체검자120례작위대조조。량조균행상규초성여다보륵혈류현상검측，포괄박동지수（PI）、조력지수（RI）、수축기봉치류속（PSV）화서장말기용적（EDV）화내막-중막후도（IMT）。관찰조행개입치료，관찰예후여혈류삼수적변화。결과관찰조교대조조IMT증가[（1.06±0.32）mm vs.（0.75±0.15）mm]，반괴발생솔승고（59.2％vs.12.5%），차이유통계학의의（P균＜0.05）。여대조조비교，관찰조EDV하강，PSV여RI승고，분별위[（11.68±1.00）cm/s vs.（6.35±0.85）cm/s]，[（34.56±4.52）cm/s vs.（58.44±5.12） cm/s]，[（0.68±0.20）vs.（0.89±0.22）]，차이유통계학의의（P균＜0.05）。통과영상학분석，관찰조재혈관협착처혈류속변세，색채명량，출현속요정；협착교중자종동맥절단개시혈류현영교기타절단암담。관찰조균순리완성개입치료후전유출원，반괴명현소실。동시개입후환자적혈류삼수치균축점회복정상。결론경동맥협착환자응용채색다보륵혈류현상능유효현시혈류변화여반영개입치료효과，구유중요적림상응용개치。
Objective To discuss the application value of color Doppler flow imaging (CDFI) before and after intervention treatment of carotid stenosis. Methods The patients with ischemic cerebrovascular diseases (n=120, male 68, female 52, aged from 43 to 76 and average age=59.41±6.15) were chosen as observe group from Feb. 2009 to Aug. 2013, and other 120 healthy controls were chosen as control group. All groups were given routine CDFI for detecting pulse index (PI), resistance index (RI), peak systolic velocity (PSV), end-diastolic volume (EDV) and carotid artery intima-media thickness (CA-IMT). At the same time the observation group was given intervention treatment and prognosis and blood flow parameters were observed. Results CA-IMT increased [(1.06±0.32) mm vs. (0.75±0.15) mm] and incidence of plaque increased (59.2% vs. 12.5%) in observation group compared with control group (all P<0.05). Compared with control group, EDV decreased and PSV and RI increased [(11.68± 1.00) cm/s vs. (6.35±0.85) cm/s], [(34.56±4.52) cm/s vs. (58.44±5.12) cm/s] and [(0.68±0.20) vs. (0.89±0.22)] in observation group (all P<0.05). The imaging analysis showed thinner blood flow at vessel stenosis point with bright color and hourglass sign. The flow images at artery segments was dimmer than those in other segments in patients with severer stenosis. All patients in observation group were all undergone intervention treatment smoothly and cured and discharged from hospital, and their hemodynamic parameters were recovered to normal. Conclusion CDFI can effectively display hemodynamic changes and reflect curative effect in patients with carotid stenosis, which has important value in clinical use.
