经颅多普勒超声、经颅彩色超声及彩色多普勒超声联合诊断椎动脉狭窄临床分析

摘要

目的：探究经颅多普勒超声、经颅彩色超声及彩色多普勒超声联合诊断椎动脉狭窄的临床意义。方法回顾性分析2010年5月—2014年5月,根据这段时间内对2000份临床资料的分析,针对缺血性脑血管病患者进行治疗,一般通过两项常规检查即CDFI和TCD、经过脑血管造影(DSA),在2000例患者中有344例被确定属于ICA单、双侧狭窄或闭塞的情况。以DSA为标准,计算CDFI、TCD及二者联合检查结果的符合率以判断。结果CDFI诊断检测结果符合率为82%,TCD为77%,联合诊断为93%,差异有统计学意义。结论经颅多普勒超声、经颅彩色超声及彩色多普勒超声联合诊断椎动脉狭窄临床效果明显,值得推广应用。%Objective To explore the clinical significance of combined diagnosis in vertebral artery stenosis using Transcranial Doppler ultrasonography and Transcranial color Doppler flow imaging and color Doppler ultrasound. Methods Retrospectively ana-lyzed 2000 clinical data of patients treated in our hospital with ischemic cerebral vascular disease from May 2010 to May 2014. CDFI and TCD were two general examinations of patients, and after cerebral angiography (DSA), within 2000 patients 344 cases were diagnosed as single and double side-ICA stenosis or occlusion. Using DSA as a standard, calculate the coincidence rate of the test results of CDFI, TCD and CDFI combined with TCD. Results The diagnostic coincidence rate of CDFI testing results was 82%, and that of TCD was 77%, while that of CDFI combined with TCD was 93%. Conclusion The clinical effect of Transcranial Doppler ultrasonography and Transcranial color Doppler flow imaging and color Doppler ultrasound is obvious in the diagnosis of vertebral artery stenosis, and it should be widely applied.