二维三维超声在诊断先天性椎动脉变异中应用价值及临床意义.docVIP

二维、三维超声在诊断先天性椎动脉变异中的应用价值及临床意义 　　[摘要] 目的 探讨二维、三维彩色多普勒超声在诊断先天性椎动脉变异中的应用价值及临床意义。 方法 对2010年1月～2015年12月我院3000例疑诊椎-基底动脉供血不足患者行二维、三维彩色多普勒超声检查，观测椎动脉内径、起源、走行、数目、血流信号等变化。 结果 在可疑椎-基底动脉供血不足的3000例患者中， 查出椎动脉先天性发育异常1252例， 异常率达41.7%。其中，椎动脉起源异常2例，椎动脉颈段入横突孔位置异常1214例，椎动脉发育不良35例，椎动脉数目异常1例。 结论 二维、三维超声能清晰、无创性显示椎动脉颅外段的变异，从而为临床诊断椎动脉病变提供依据。 　　[关键词] 椎-基底动脉供血不足；椎动脉；先天性变异；二维超声；三维超声 　　[中图分类号] R445；R587.1；R743 [文献标识码] B [文章编号] 1673-9701（2016）09-0110-03 　　[Abstract] Objective To study the application value and clinical significance of two-dimensional and three-dimensional color Doppler ultrasound in the diagnosis of congenital vertebral artery variation. Methods 3000 cases of patients who were suspected vertebral-basilar artery insufficiency of blood supply from January 2010 to December 2015 in our hospital， underwent two-dimensional and three-dimensional color Doppler ultrasound examination， and the diameter， origin， course， the number， blood flow signal and other changes of vertebral artery were observed. Results Among 3，000 patients who were suspected vertebral-basilar artery insufficiency of blood supply， there were 1252 cases of patients who were detected congenital vertebral artery abnormalities， and the abnormal rate was 41.7%. Among them， there were two cases of anomalous origin of the vertebral artery， 1214 cases of cervical vertebral artery position abnormality into the transverse foramen and 35 cases of vertebral artery hypoplasia， and 1 case with abnormal vertebral artery number. Conclusion Two-dimensional ultrasound and three-dimensional ultrasound can clearly and noninvasively show extracranial vertebral artery variability and thus they can provide a basis for clinical diagnosis of vertebral artery lesions. 　　[Key words] Vertebral artery； Congenital variation； Two-dimensional ultrasound； Three-dimensional ultrasound 　　反复发作性的眩晕是神经科患者较为常见的临床症状，椎-基底动脉供血不足是引起这一症状的主要病因。椎动脉先天性变异可能导致椎-基底动脉系统的供血不足，从而导致缺血性脑卒中。彩色多普勒超声检查具有无特殊禁忌证、可重复、可靠性强等特点，因而通常作为椎动脉病变的影像学检查的常规项目。本研究通过对我院疑诊为椎动脉病变的3000例患