中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
23期
186-187
,共2页
椎动脉狭窄%经颅多普勒超声%经颅彩色超声%彩色多普勒超声
椎動脈狹窄%經顱多普勒超聲%經顱綵色超聲%綵色多普勒超聲
추동맥협착%경로다보륵초성%경로채색초성%채색다보륵초성
Vertebral artery stenosis%Transcranial Doppler ultrasonography%Transcranial color Doppler ultrasound%Color Doppler ultrasound
目的:探究经颅多普勒超声、经颅彩色超声及彩色多普勒超声联合诊断椎动脉狭窄的临床意义。方法回顾性分析2010年5月—2014年5月,根据这段时间内对2000份临床资料的分析,针对缺血性脑血管病患者进行治疗,一般通过两项常规检查即CDFI和TCD、经过脑血管造影(DSA),在2000例患者中有344例被确定属于ICA单、双侧狭窄或闭塞的情况。以DSA为标准,计算CDFI、TCD及二者联合检查结果的符合率以判断。结果CDFI诊断检测结果符合率为82%,TCD为77%,联合诊断为93%,差异有统计学意义。结论经颅多普勒超声、经颅彩色超声及彩色多普勒超声联合诊断椎动脉狭窄临床效果明显,值得推广应用。
目的:探究經顱多普勒超聲、經顱綵色超聲及綵色多普勒超聲聯閤診斷椎動脈狹窄的臨床意義。方法迴顧性分析2010年5月—2014年5月,根據這段時間內對2000份臨床資料的分析,針對缺血性腦血管病患者進行治療,一般通過兩項常規檢查即CDFI和TCD、經過腦血管造影(DSA),在2000例患者中有344例被確定屬于ICA單、雙側狹窄或閉塞的情況。以DSA為標準,計算CDFI、TCD及二者聯閤檢查結果的符閤率以判斷。結果CDFI診斷檢測結果符閤率為82%,TCD為77%,聯閤診斷為93%,差異有統計學意義。結論經顱多普勒超聲、經顱綵色超聲及綵色多普勒超聲聯閤診斷椎動脈狹窄臨床效果明顯,值得推廣應用。
목적:탐구경로다보륵초성、경로채색초성급채색다보륵초성연합진단추동맥협착적림상의의。방법회고성분석2010년5월—2014년5월,근거저단시간내대2000빈림상자료적분석,침대결혈성뇌혈관병환자진행치료,일반통과량항상규검사즉CDFI화TCD、경과뇌혈관조영(DSA),재2000례환자중유344례피학정속우ICA단、쌍측협착혹폐새적정황。이DSA위표준,계산CDFI、TCD급이자연합검사결과적부합솔이판단。결과CDFI진단검측결과부합솔위82%,TCD위77%,연합진단위93%,차이유통계학의의。결론경로다보륵초성、경로채색초성급채색다보륵초성연합진단추동맥협착림상효과명현,치득추엄응용。
Objective To explore the clinical significance of combined diagnosis in vertebral artery stenosis using Transcranial Doppler ultrasonography and Transcranial color Doppler flow imaging and color Doppler ultrasound. Methods Retrospectively ana-lyzed 2000 clinical data of patients treated in our hospital with ischemic cerebral vascular disease from May 2010 to May 2014. CDFI and TCD were two general examinations of patients, and after cerebral angiography (DSA), within 2000 patients 344 cases were diagnosed as single and double side-ICA stenosis or occlusion. Using DSA as a standard, calculate the coincidence rate of the test results of CDFI, TCD and CDFI combined with TCD. Results The diagnostic coincidence rate of CDFI testing results was 82%, and that of TCD was 77%, while that of CDFI combined with TCD was 93%. Conclusion The clinical effect of Transcranial Doppler ultrasonography and Transcranial color Doppler flow imaging and color Doppler ultrasound is obvious in the diagnosis of vertebral artery stenosis, and it should be widely applied.