颈动脉严重狭窄或闭塞对颅内循环的影响.pdfVIP

中国医学影像技术 2004 年第 20 卷第6 期 Cbin J Med Imaging Technol .2004. Vo) 20.No 6 , 90 1 Hemodynamic changes of intracranial circolation in the patients with severe extracranial carotid stenosis ZHENGYu , HUA Yang. LING Chen. DUANChun , Z HANGLei , WANG Li- li. LIU犯忖nei . ZHQU 子切g-hua (Department 01 Ulzrasonography. Xuanwu Hospital. CaPital UlIiversity 01 Medical Sciences. Beij切g 100053. China) [ Abslract] Obj配tive To sludy the impact of severe stenosis 01the extracranial carotid on hemodynamics of intracranial circulation. Melhods CDFI was used to examine t he patients with unilateral severe stenosis or occlusion of the carotid 盯ter­ y. TCD was applied to evaluate intracriniaJ arteries. Resulls ( Tbe velocity and PI of ipsilateraJ MCA were signilicant1y lower than that 01 cont ra)ateral MCA. ②Collateral ization 四tablishment (ACoA. PCoA. OA): There were 3 1 individuals with non-∞llateralitation (group A) . 23 with one collateralization (group B) , 52 wÎth two ∞lIaterals (group C). and 28 with three collatera1s (group D) . The incidence 01stroke and TIA were 77 . 4%. 69. 6% . 65 . 4% . 46 .4 % resp出tively. ③ The opening of ACoA was in negative re1ation with the occurrence of stroke (P = O. 009). Conclusion Severe carotid steno- sis could decrease the blood flow 01 the ipsilateral hemi sphere . and the colJateralizatÎon could be estabJished intracraniallYI the lormation of collateralization had negatÎve relatÎon wÎth the 时currence of stroke or TIA. [Key words] Carot id stenosÎs ,Collateral cÎrculation ,U1trasonography 颈动脉严重狭窄或闭塞对颅内循环的影晌 郑宇， 华扬， 凌晨，段 春，张 蕾，王力力 ， 刘玉梅，周瑛华 〈首都医科大学宣武医院超声诊断科，北京 100053) [摘 要] 目的 分析严重的颜外段颈动脉狭窄或闭塞对颅内循环的影响. 方法 采用彩色多普勒超声(CDFD筛登单侧 严