颈动脉超声和经颅多普勒超声联合评价颈动脉狭窄支架治疗临床效果.docVIP

颈动脉超声和经颅多普勒超声联合评价颈动脉狭窄支架治疗临床效果 　　【摘要】 目的 探讨颈动脉超声和经颅多普勒超声联合评价颈动脉狭窄支架治疗的临床效果。方法 65例行颈动脉狭窄支架治疗患者， 均采用颈动脉超声和经颅多普勒超声对颈动脉狭窄局部管径、狭窄段收缩期峰值流速、同侧大脑中动脉的收缩期峰值流速、搏动指数进行检测， 分析对比检测结果。结果 术前颈动脉狭窄处管腔内径、收缩期峰值流速分别为（3.2±0.8）mm、（190.4±78.2）cm/s；术后1周分别为（4.8±0.6）mm、（87.3±30.6）cm/s；术后1年分别为（4.7±0.5）mm、（90.3±29.8）cm/s。术后1周、1年颈动脉狭窄处管腔内径、收缩期峰值流速均优于术前， 差异具有统计学意义（t1周=12.900、9.899， t1年=12.819、9.644， P0.05）。术前患侧大脑中动脉收缩期峰值流速、血管搏动指数分别为（78.7±14.7）cm/s、（0.9±0.1）；术后1周分别为（114.3±23.2）cm/s、（1.1±0.2）；术后1年分别为（110.8±20.8）cm/s、（1.1±0.4）。术后1周、1年患侧大脑中动脉收缩期峰值流速、血管搏动指数均优于术前， 差异具有统计学意义（t1周=10.450、7.211， t1年=10.161、3.911， P0.05）。?Y论 颈动脉超声联合经颅多普勒超声适用于颈动脉狭窄支架治疗效果评价， 值得推广。 　　【关键词】 颈动脉超声；经颅多普勒超声；颈动脉狭窄支架 　　DOI：10.14163/j.cnki.11-5547/r.2017.05.020 　　Clinical effect of combined evaluation by carotid artery ultrasound and transcranial Doppler ultrasound on carotid artery stenosis stent treatment ZHANG Xun-juan. Jilin Provincial People’s Hospital， Changchun 130021， China 　　【Abstract】 Objective To investigate clinical effect by carotid artery ultrasound and transcranial Doppler ultrasound in evaluation of carotid artery stenosis stent treatment. Methods A total of 65 patients receiving carotid artery stenosis stent treatment all received examination by carotid artery ultrasound and transcranial Doppler ultrasound for carotid artery stenosis local blood vessel diameter， stenosis peak systolic flow velocity， ipsilateral middle cerebral artery peak systolic flow velocity， and pulsatility index. Comparison and analysis were made on examination outcomes by the two measures. Results Preoperative carotid artery stenosis local blood vessel diameter and peak systolic flow velocity were respectively （3.2±0.8） mm and （190.4±78.2） cm/s， 　　which were （4.8±0.6） mm， （87.3±30.6） cm/s in postoperative 1 week， and （4.7±0.5） mm， （90.3±29.8） cm/s 　　in postoperative 1 year. Postoperative carotid artery stenosis local blood vessel diameter and peak systolic flow velocity in 1 week and 1 year were all better than those before operation， an