经颅彩色多普勒超声检查指南（Guidelines for transcranial color Doppler ultrasonography）.docVIP

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经颅彩色多普勒超声检查指南（Guidelines for transcranial color Doppler ultrasonography）.doc

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经颅彩色多普勒超声检查指南（Guidelines for transcranial color Doppler ultrasonography）

经颅彩色多普勒超声检查指南（Guidelines for transcranial color Doppler ultrasonography） The second chapter is the transcranial color Doppler ultrasonography examination guideline Release: 2009-4-19 18:09 | Author: webmaster | source: the original | view: 207 I. purpose Transcranial Doppler ultrasound (Transcranial color-code real time sonography, TCCS) is the use of low frequency probe, the beam through the adult skull window (mountain, temporal bone foramen magnum, orbit and skull defect area) and intracranial parenchyma and vascular structures, noninvasive method of vascular hemodynamic evaluation of skull base. Two, indications 1. cerebral arteriovenous malformations 2. intracranial aneurysm 3. carotid cavernous fistula 4. cerebral artery stenosis and occlusion 5. moyamoya disease 6. dural arteriovenous fistula 7. other cerebrovascular diseases. In general, cerebrovascular diseases can be examined by color Doppler ultrasonography to understand the hemodynamic information. Three, contraindications and limitations The skull of adult is thicker, the ultrasonic attenuation is serious, the window of sound is limited, there are some blind spots, and it is difficult to display the partial vascular lesions of frontal, frontal, occipital and cerebellum. Four. Prepare before examination 1, instrument: various types of color Doppler ultrasound can be used by the temporal and occipital window check probe frequency is 1.8 ~ 2 MHz, the instrument equipped with specialized transcranial exploration conditions, general depth range from 100 to 140mm. The high frequency probe is used for detecting the superficial part of the neck by orbital window detection. 2, with no special preparation, delirious patients should be accompanied by family members, recently accompanied by clinicians need in patients with cerebral hemorrhage. Five, inspection techniques 1 、 examination site and method The window of temporal, occipital, orbital and skull defects was used in children and adults. The temporal window: