颈部动脉彩超在短暂性脑缺血发作中应用.docVIP

颈部动脉彩超在短暂性脑缺血发作中应用 　　[摘要] 目的 应用彩色多普勒超声评价短暂性脑缺血发作患者颈动脉及椎动脉的改变,探讨彩色多普勒超声在短暂性脑缺血发作诊断中的应用价值。方法 应用彩色多普勒超声测量126例短暂性脑缺血发作患者及100例健康对照组的颈总动脉、颈内动脉的内中膜厚度、有无硬化斑块、狭窄率、血管走行及椎动脉血流动力学参数。结果 颈总动脉及颈内动脉所探查到的大部分观测项目在两组间有明显差异。两组间椎动脉收缩期最大血流速度存在明显差异,短暂性脑缺血发作组椎动脉出现盗血现象7例。结论 颈部动脉彩色多普勒超声在短暂性脑缺血发作的诊断中具有重要价值。 　　[关键词] 彩色多普勒超声; 短暂性脑缺血发作; 颈动脉; 椎动脉 　　[中图分类号] R743.31;R445.1 [文献标识码] A [文章编号] 1673-9701(2010)11-68-03 　　 　　Application on Color Doppler Ultrasonography in Carotid Artery Transient Ischemic Attack 　　CHANG Hong 　　Department of Ultrasound,Lvshun Municipal People’s Hospital,Dalian 116041,China 　　 　　[Abstract] ObjectiveTo evaluate the changes of carotid artery and vertebral artery in transient ischemic attack(TIA)by using color Doppler ultrasonography and analyze the value of color doppler ultrasonography in the diagnosis of TIA. MethodsWe assigned 126 cases of TIA as TIA group and 100 healthy subjects as control group. Intima-media thickness(IMT),stenosis rate,plaque of common carotid artery(CCA)and internal carotid artery(ICA),and hemodynamics of cervical part of vertebral artery(VA)were detected by using color Doppler ultrasonography. ResultsThere were significant differences in most of the examined items of CCA and ICA between the two groups. There was a significant difference in vertebral artery peak systolic flow velocity between the two groups and 7 cases showed steal phenomenon in transient ischemic attack group. ConclusionColor Doppler ultrasonography plays an important role in the diagnosis of TIA. 　　[Key words]Color Doppler ultrasonography; Transient ischemic attack; Carotid artery;Vertebral artery 　　 　　短暂性脑缺血发作(TIA)是常见缺血性脑血管病之一,是脑梗死的预警信号。有过TIA的患者将有1/3～2/3会在未来1～5年内发生脑梗死。因此,积极预防TIA在临床上具有重要意义[1]。颈动脉粥样硬化是缺血性脑血管???病的重要病因之一[2],本文应用彩色多普勒超声对126例TIA患者进行颈部血管检查,旨在探讨颈部动脉病变的检出在TIA诊断中的应用价值。 　　1 材料与方法 　　1.1 研究对象 　　选择我院2008年1～12月间临床诊断为TIA但脑CT检查正常的患者共126例,其中男性74例,女性52例,年龄38～92岁,平均年龄(66.8±2.8)岁。临床症状包括一过性头晕、眼黑蒙、肢体功能异常、言语障碍等,其临床症状在数分钟至24h内完全消失,不遗留任何神经系统障碍,病史3个月～5年。健康对照组为2008年1～12月间来我院进行