右江民族医学院学报
右江民族醫學院學報
우강민족의학원학보
Journal of Youjiang Medical University for Nationalities
2015年
5期
710-712
,共3页
超声检查,多普勒,经颅%大脑中动脉%动脉闭塞性疾病%侧支循环
超聲檢查,多普勒,經顱%大腦中動脈%動脈閉塞性疾病%側支循環
초성검사,다보륵,경로%대뇌중동맥%동맥폐새성질병%측지순배
sonography,Doppler,transcranial%middle cerebral artery%arterial occlusive disease%collat-eral circulation
目的：探讨经颅多普勒超声检查(transcranial Doppler sonography,TCD)在大脑中动脉(middle cerebral artery, MCA)闭塞诊断及侧支循环观察中的作用。方法回顾性分析本院2010年10月~2014年10月收治的175例单侧MCA 闭塞患者的临床资料。结果存在大脑前动脉(ACA)软脑膜支代偿的患者,单纯 ACA 代偿组和 ACA+大脑后动脉(PCA)共同代偿组,dPSVACA/nPSVMCA 和 dPSVACA/nPSVACA 比值均显著高于无脑膜支代偿组和单纯 PCA 代偿组,经比较差异均有统计学意义(P 均<0.05)。但单纯 ACA 代偿组与 ACA+PCA 共同代偿组间,dPSVACA/nPSVMCA 和 dPS-VACA/nPSVACA 的比值经比较差异无统计学意义(P >0.05)。单纯 PCA 代偿组以及 ACA+PCA 共同代偿组的存在PCA 软脑膜支代偿的患者在 dPSVPCA/nPSVPCA 比值方面均显著高于无脑膜支代偿组和单纯 ACA 代偿组患者,经比较差异均有统计学意义(P 均<0.05)。而单纯 PCA 代偿组与 ACA+PCA 共同代偿组在 dPSVPCA/nPSVPCA 比值方面经比较差异无统计学意义(P >0.05)。结论经颅多普勒超声在大脑中动脉闭塞诊断以及侧支循环观察中具有一定的作用。
目的：探討經顱多普勒超聲檢查(transcranial Doppler sonography,TCD)在大腦中動脈(middle cerebral artery, MCA)閉塞診斷及側支循環觀察中的作用。方法迴顧性分析本院2010年10月~2014年10月收治的175例單側MCA 閉塞患者的臨床資料。結果存在大腦前動脈(ACA)軟腦膜支代償的患者,單純 ACA 代償組和 ACA+大腦後動脈(PCA)共同代償組,dPSVACA/nPSVMCA 和 dPSVACA/nPSVACA 比值均顯著高于無腦膜支代償組和單純 PCA 代償組,經比較差異均有統計學意義(P 均<0.05)。但單純 ACA 代償組與 ACA+PCA 共同代償組間,dPSVACA/nPSVMCA 和 dPS-VACA/nPSVACA 的比值經比較差異無統計學意義(P >0.05)。單純 PCA 代償組以及 ACA+PCA 共同代償組的存在PCA 軟腦膜支代償的患者在 dPSVPCA/nPSVPCA 比值方麵均顯著高于無腦膜支代償組和單純 ACA 代償組患者,經比較差異均有統計學意義(P 均<0.05)。而單純 PCA 代償組與 ACA+PCA 共同代償組在 dPSVPCA/nPSVPCA 比值方麵經比較差異無統計學意義(P >0.05)。結論經顱多普勒超聲在大腦中動脈閉塞診斷以及側支循環觀察中具有一定的作用。
목적：탐토경로다보륵초성검사(transcranial Doppler sonography,TCD)재대뇌중동맥(middle cerebral artery, MCA)폐새진단급측지순배관찰중적작용。방법회고성분석본원2010년10월~2014년10월수치적175례단측MCA 폐새환자적림상자료。결과존재대뇌전동맥(ACA)연뇌막지대상적환자,단순 ACA 대상조화 ACA+대뇌후동맥(PCA)공동대상조,dPSVACA/nPSVMCA 화 dPSVACA/nPSVACA 비치균현저고우무뇌막지대상조화단순 PCA 대상조,경비교차이균유통계학의의(P 균<0.05)。단단순 ACA 대상조여 ACA+PCA 공동대상조간,dPSVACA/nPSVMCA 화 dPS-VACA/nPSVACA 적비치경비교차이무통계학의의(P >0.05)。단순 PCA 대상조이급 ACA+PCA 공동대상조적존재PCA 연뇌막지대상적환자재 dPSVPCA/nPSVPCA 비치방면균현저고우무뇌막지대상조화단순 ACA 대상조환자,경비교차이균유통계학의의(P 균<0.05)。이단순 PCA 대상조여 ACA+PCA 공동대상조재 dPSVPCA/nPSVPCA 비치방면경비교차이무통계학의의(P >0.05)。결론경로다보륵초성재대뇌중동맥폐새진단이급측지순배관찰중구유일정적작용。
Objective This article aims to explore the effectiveness of transcranial Doppler sonography in diagnosis of middle cerebral artery (MCA)occlusion and in observing collateral circulation. Methods A ret-rospective analysis of clinical data was performed for 175 patients with unilateral MCA occlusion cared at our hospital from October 2010 to October 2014. Results In patients with pia mater collateral circulation com-pensatory in anterior cerebral artery (ACA),the ratio of dPSVACA to nPSVMCA and the ratio of dPSVACA to nPS-VACA in the single ACA compensatory group and the ACA + posterior cerebral artery (PCA)joint compensato-ry group were significantly higher than those of non pia mater collateral circulation compensatory group and single PCA compensatory group,the differences were statistically significant by comparing between two groups (all P <0.05).But the comparison of single ACA compensatory group and ACA+PCA joint compensatory group in the ratio of dPSVACA to nPSVMCA and the ratio of dPSVACA to nPSVACA yielded no statistically signifi-cant differences (P >0.05).In patients with PCA pia mater collateral compensatory,single PCA compensato-ry group and ACA+PCA joint compensatory group in the ratio of dPSVPCA to nPSVPCA were significantly higher than those of non pia mater collateral compensatory group and single ACA compensatory group,the compari-son of the two groups showed statistically significant differences (P < 0.05 ).But the comparison of single PCA compensatory group and ACA+PCA joint compensatory group in the ratio of dPSVPCA to nPSVPCA showed no statistically significant difference (P >0.05). Conclusion Transcranial Doppler sonography has a certain effect on diagnosis of middle cerebral artery occlusion and on observing collateral circulation.
