颈内动脉严重狭窄或闭塞的超声诊断及临床价值.pdfVIP

何晶-f磁带饨，营报 2003 年7 月第4 期 第 18 卷总第107 规 颈内动脉严重狭窄或闭塞的超声诊断及临床价值 Ultrasonic Dia伊osis of Carotid Stricture or 伽Uteration 创时 Its Oini创Valt脆 余虹YuH叫 河南省中医院 Henan Proìncìal 丁CM Hospìtal 摘襄:目的:利用超声血管成像技术观察颈动脉严重狭窄或闭寨的血流动力学变化特点并探讨其临床价值。方法:对 17 例级 二维2l彩色多普勒超声检测的颈动脉狭窄或闭塞病例进行回顾分析。给采:颈内动脉严交狭窄或闭塞会部发生在起始部。 闭塞者，忠侧颈总动脉血流速度减慢，同伽l 勿i 外动脉血流速度增快;严重E狭窄者局部血流速度明显增快，其边端2li丘端血流速 度减J陵。其中 5 例严重狭窄着行手术或介入治疗，~之后血流动力学明显改善。结论:超声血管成像技术直观、元痛苦创伤、重 复性强，其二维图像可清晰的显示颈内动脉闭塞或狭窄程度，彩色多普勒可准确判定病变动脉血流动力学变化情况。二者结 合，可对颈内动脉病变作出准确诊断、对其所引起供血不足作出预报，并对临床疗效进行观察许价。 Abstract: Objective: To study the hernooynamic changes in carotid stricture or obliteration by ultrasound technique and its clinical value. Metl时: Review and analyze the 17 cases detected through two dimensìonal or ultrasonic llippler techniques. Results; All ca- rotìd stricture or oblìteratìon ωcurred at the initial p盯t. ln th巳 αse of obliteration , the veL侃ity of blcx:对 flow in the common carotid artery of the aff巳cted side slowed down , while that ìn the ext巳rnal carotid artery speeded up. In the case of stricture , the vel，创ity of blocx:l flow in 1ωal ar巳a obviously s伊eded up , while that in the rl即lote or n凶rbyar创s slowed down. Five stricture patients w巳re oper- ated on or given intervening therapy with improved h巳mooynan让ω. Conclusions: Two - dimensional pictures can clearly show internal carotid art臼y obliteration or stricture , and ultra附加协ppler can accurately identify hemooynamic changωof pathologic arteries. 1、he two in conjunction can lead to accurate diagnosis of intemal c.arotid artery lesions. predict blcx:对 deficìency ， and h日怜 with assessment of the c1inical curative effect. 关键诩:超声血管成像技术;顽内动脉严交狭窄;颈内动脉闭寨;诊断;1临床价值 Key words: ultrasound technique; int巳rnal carotid artery strictur巳; intemal carotid arter