海南医学
海南醫學
해남의학
Hainan Medical Journal
2015年
20期
3012-3014
,共3页
经颅多普勒超声%颈动脉超声%缺血性脑血管病%诊断
經顱多普勒超聲%頸動脈超聲%缺血性腦血管病%診斷
경로다보륵초성%경동맥초성%결혈성뇌혈관병%진단
Transcranial Doppler ultrasonography%Carotid ultrasound%Ischemic cerebrovascular disease%Di-agnosis
目的 探讨经颅多普勒超声(TCD)与颈动脉超声联合应用对诊断缺血性脑血管病的临床价值.方法 对109例缺血性脑血管病患者均分别行头颅数字减影血管造影(DSA)检查、经颅多普勒超声和颈动脉超声检查,观察血管病变情况,以头颅DSA检查结果作为诊断的金标准.结果 经DSA检查,109例患者颅内、颈部血管均有不同程度的病变,异常血管895条.单用经颅多普勒超声检查发现颅内血管异常86例,异常血管345条;单用颈动脉超声检查发现颅外血管异常74例,异常血管322条;经颅多普勒超声联合颈动脉超声发现颅内外异常血管105例,异常血管832条.单用经颅多普勒超声检查、单用颈动脉超声检查、经颅多普勒超声联合颈动脉超声检查的诊断符合率分别为86.99%%、83.49%和94.32%.结论 经颅多普勒超声联合颈动脉超声能明显提高颅内外血管病变诊断的准确率,对缺血性脑病的临床诊断有重要的指导意义.
目的 探討經顱多普勒超聲(TCD)與頸動脈超聲聯閤應用對診斷缺血性腦血管病的臨床價值.方法 對109例缺血性腦血管病患者均分彆行頭顱數字減影血管造影(DSA)檢查、經顱多普勒超聲和頸動脈超聲檢查,觀察血管病變情況,以頭顱DSA檢查結果作為診斷的金標準.結果 經DSA檢查,109例患者顱內、頸部血管均有不同程度的病變,異常血管895條.單用經顱多普勒超聲檢查髮現顱內血管異常86例,異常血管345條;單用頸動脈超聲檢查髮現顱外血管異常74例,異常血管322條;經顱多普勒超聲聯閤頸動脈超聲髮現顱內外異常血管105例,異常血管832條.單用經顱多普勒超聲檢查、單用頸動脈超聲檢查、經顱多普勒超聲聯閤頸動脈超聲檢查的診斷符閤率分彆為86.99%%、83.49%和94.32%.結論 經顱多普勒超聲聯閤頸動脈超聲能明顯提高顱內外血管病變診斷的準確率,對缺血性腦病的臨床診斷有重要的指導意義.
목적 탐토경로다보륵초성(TCD)여경동맥초성연합응용대진단결혈성뇌혈관병적림상개치.방법 대109례결혈성뇌혈관병환자균분별행두로수자감영혈관조영(DSA)검사、경로다보륵초성화경동맥초성검사,관찰혈관병변정황,이두로DSA검사결과작위진단적금표준.결과 경DSA검사,109례환자로내、경부혈관균유불동정도적병변,이상혈관895조.단용경로다보륵초성검사발현로내혈관이상86례,이상혈관345조;단용경동맥초성검사발현로외혈관이상74례,이상혈관322조;경로다보륵초성연합경동맥초성발현로내외이상혈관105례,이상혈관832조.단용경로다보륵초성검사、단용경동맥초성검사、경로다보륵초성연합경동맥초성검사적진단부합솔분별위86.99%%、83.49%화94.32%.결론 경로다보륵초성연합경동맥초성능명현제고로내외혈관병변진단적준학솔,대결혈성뇌병적림상진단유중요적지도의의.
Objective To explore the value of transcranial Doppler ultrasonography combined with carotid ultrasound in the diagnosis of ischemic cerebrovascular disease. Methods One hundred and nine patients of isch-emic cerebrovascular disease were performed head digital subtraction angiography (DSA), transcranial Doppler ultra-sonography, carotid ultrasound to observe the vascular lesions. Head DSA was regarded as the gold standard examina-tion. Results DSA examination showed that all the patients had different degree of pathological changes in head and carotid, with 895 abnormal blood vessels. Transcranial Doppler ultrasonography found 86 cases of intracranial vascu-lar abnormalities, with 345 abnormal blood vessels. Carotid ultrasound revealed 74 cases of extracranial vascular ab-normalities, with 322 abnormal blood vessels. Carotid ultrasound combined with transcranial Doppler ultrasound found 105 cases of vascular abnormalities, with 832 abnormal blood vessels. The diagnostic coincidence rate of tran-scranial Doppler ultrasonography, carotid ultrasound, transcranial Doppler ultrasonography combined with carotid ul-trasound were 86.99%%, 83.49%and 94.32%, respectively. Conclusion Transcranial Doppler ultrasonography com-bined with carotid ultrasound can significantly increase the correct rate of diagnosing intracranial and extracranial vas-cular lesions. It plays an important role in the guidance of clinical work.