【2017年整理】颈动脉超声检查规范.pptVIP

颈动脉超声规范化检查注意事项 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 常规测量数据 1.颈总动脉远端内径、IMT及PSV/EDV 2.颈动脉球部内径、IMT及PSV/EDV 3.颈内动脉内径及PSV/EDV 4.颈外动脉PSV/EDV 5.椎动脉椎间段内径及PSV/EDV 6.双侧锁骨下动脉PSV/EDV 颈动脉测量表格.doc Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 异常报告测量参数及描述 1.斑块数量，单发（1个）、多发（ ≥ 3个），以双侧总数为准。 2.斑块测量大小（长径×厚度） ，描述 位置，回声（低回声、等回声、强回声、不均回声），形态（规则/扁平、不规则）。 例如：颈总动脉远端内侧壁可见一大小约9×2.1mm不均回声扁平斑（低回声扁平斑、不规则等回声斑等） Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 3.注意：溃疡型斑块需特别注明描述，且诊断中需注明。 4 .狭窄处需测量原始管径及残余管径、狭窄处PSV/EDV、远端PSV/EDV 5.支架术后需描述支架位置、长度、内径及支架内血流PSV/EDV 、支架远端血流PSV/EDV Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 6.重度狭窄或闭塞远端是否有侧枝供血 7.椎动脉走行是否有变异，椎间段是否有弯曲，椎动脉起源及起点是否有异常。 颈动脉测量表格.doc Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 诊断标准及注意事项 1.颈总动脉、颈动脉球部、颈内动脉、椎动脉（包括起始端及椎间段）、锁骨下动脉狭窄均分为轻度（狭窄率＜50%）、中度（狭窄率50% -69%）、重度(70%-99%)及闭塞。 2.轻度狭窄接近50%时诊断提示。 3.颈外动脉动脉狭窄诊断提示，但不报程度。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 4. 颈动脉球部、颈内动脉、动脉椎动脉（包括起始端及椎间段）狭窄程度诊断以血管超声指南为标准（注意分析频谱）。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 颈动脉狭窄超声评价标准 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 椎动脉起始段狭窄评价标准 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 5.颈总动