中国卒中杂志
中國卒中雜誌
중국졸중잡지
CHINESE JOURNAL OF STROKE
2015年
9期
757-760
,共4页
徐斌%邢锦%张文静%康更洁%翟林%吴婵%孙楠楠%孟焱%崔健%朱倩倩
徐斌%邢錦%張文靜%康更潔%翟林%吳嬋%孫楠楠%孟焱%崔健%硃倩倩
서빈%형금%장문정%강경길%적림%오선%손남남%맹염%최건%주천천
超声检查%多普勒%造影剂%脑缺血%侧支循环
超聲檢查%多普勒%造影劑%腦缺血%側支循環
초성검사%다보륵%조영제%뇌결혈%측지순배
Ultrasonography%Doppler%Contrast media%Brain ischemia%Collateral circulation
目的：探讨经颅彩色多普勒超声造影（contrast-enhanced transcranial color-coded doppler，CE-TCCD）技术在判断颞骨声窗受限的脑梗死及短暂性脑缺血发作（transient ischemic attack，TIA）患者颅内侧支循环方面的应用。方法选择由于声窗的限制，经颅彩色多普勒超声检查未探及颅内血流信号的70例脑梗死及TIA患者，应用CE-TCCD检测其颅内血流及Wil is环的开放情况，进一步完善磁共振血管成像（magnetic resonance angiography，MRA）后比较两者的诊断结果。结果70例患者中男51例，女19例，平均年龄（66.4±11.9）岁，CE-TCCD共检出41条交通动脉开放，其中38条与MRA诊断一致，超声造影与MRA诊断一致性好（Kappa值为0.696，P＜0.001）。超声造影检测的灵敏度为79.2%，特异度为91.9%。结论在颞骨声窗受限的脑梗死及TIA患者中，CE-TCCD可用于颅内侧支循环的评价。
目的：探討經顱綵色多普勒超聲造影（contrast-enhanced transcranial color-coded doppler，CE-TCCD）技術在判斷顳骨聲窗受限的腦梗死及短暫性腦缺血髮作（transient ischemic attack，TIA）患者顱內側支循環方麵的應用。方法選擇由于聲窗的限製，經顱綵色多普勒超聲檢查未探及顱內血流信號的70例腦梗死及TIA患者，應用CE-TCCD檢測其顱內血流及Wil is環的開放情況，進一步完善磁共振血管成像（magnetic resonance angiography，MRA）後比較兩者的診斷結果。結果70例患者中男51例，女19例，平均年齡（66.4±11.9）歲，CE-TCCD共檢齣41條交通動脈開放，其中38條與MRA診斷一緻，超聲造影與MRA診斷一緻性好（Kappa值為0.696，P＜0.001）。超聲造影檢測的靈敏度為79.2%，特異度為91.9%。結論在顳骨聲窗受限的腦梗死及TIA患者中，CE-TCCD可用于顱內側支循環的評價。
목적：탐토경로채색다보륵초성조영（contrast-enhanced transcranial color-coded doppler，CE-TCCD）기술재판단섭골성창수한적뇌경사급단잠성뇌결혈발작（transient ischemic attack，TIA）환자로내측지순배방면적응용。방법선택유우성창적한제，경로채색다보륵초성검사미탐급로내혈류신호적70례뇌경사급TIA환자，응용CE-TCCD검측기로내혈류급Wil is배적개방정황，진일보완선자공진혈관성상（magnetic resonance angiography，MRA）후비교량자적진단결과。결과70례환자중남51례，녀19례，평균년령（66.4±11.9）세，CE-TCCD공검출41조교통동맥개방，기중38조여MRA진단일치，초성조영여MRA진단일치성호（Kappa치위0.696，P＜0.001）。초성조영검측적령민도위79.2%，특이도위91.9%。결론재섭골성창수한적뇌경사급TIA환자중，CE-TCCD가용우로내측지순배적평개。
Objective To observe the intracranial collateral circulation in patients with cerebral infarction and transient ischemic attack with limited bone windows by using of contrast-enhanced transcranial color-coded Doppler (CE-TCCD). Methods Seventy patients with ischemic stroke, and transient ischemic attack of whom transcranial color-coded Doppler could not detect the intracranial blood lfow because of limited bone windows, were detected the intracranial blood flow and the anterior and posterior communicating arteries of Willis ring before magnetic resonance angiography(MRA) examination. And compared the diagnosis of both. Results Seventy patients consists of 51 males and 19 females, mean age was 66.4±11.9 years old. CE-TCCD were detected in 41 communicating arteries, 38 of which were consistent with the MRA diagnosis. Diagnostic consistency between the two was good (Kappa value 0.696,P<0.001). The sensitivity of CE-TCCD was 79.2% and the speciifcity of it was 91.9%. Conclusion Contrast-enhanced transcranial color-coded Doppler can be used to detect intracranial collateral circulation in patients with cerebral infarction and transient ischemic attack with limited bone windows.
