| 张小征,吕健,莫雪红,束枫,华莎,马廉亭.经颅多普勒及彩色多普勒与数字减影脑血管造影对颅底异常血管网病诊断的比较分析[J].中国医学影像技术,2003,19(12):1694~1696 |
| 经颅多普勒及彩色多普勒与数字减影脑血管造影对颅底异常血管网病诊断的比较分析 |
| Analyses of Transcranial Doppler, Color Doppler Ultrasonography and DSA on Diagnosis of Moyamoya Disease |
| 投稿时间：2003-06-19 |
| DOI： |
| 中文关键词: 颅底异常血管网病 经颅多普勒 彩色多普勒 能量多普勒 数字减影脑血管造影 |
| 英文关键词:Moyamoya disease Transcranial Doppler Color Doppler flow imaging Color Doppler energy Digital subtraction angiography |
| 基金项目: |
|
| 摘要点击次数: 2375 |
| 全文下载次数: 1159 |
| 中文摘要: |
| 目的 总结36例颅底异常血管网病的多普勒超声探测经验,评价无创诊断颅底异常血管网病的临床应用价值。方法 采用经颅多普勒(TCD)、彩色多普勒血流显像(CDFI)及彩色多普勒能量图(CDE)技术探测颅底异常血管网病颅内血管及血流动力学改变,并与数字减影脑血管造影(DSA)比较分析。结果 TCD探测24例,明确诊断22例,高度怀疑1例,阴性者1例,与DSA比较诊断符合率为96%。CDFI及CDE探测12例,均明确诊断为颅底异常血管网病,并被DSA证实。结论 TCD、CDFI及CDE能实时动态观察颅底血管及血流动力学改变,CDFI及CDE对狭窄处血流显示敏感,有助于准确判断血管闭塞与轻度狭窄,对颅底异常血管网病的诊断具有很高的应用价值,又因其无创,病人易接受,可作为颅底异常血管网病病人诊断、定期随访的首选方法。 |
| 英文摘要: |
| Objective To summarize the experience in Doppler ultrasonography examination and estimate clinical value of noninvasive Doppler ultrasonography to diagnose Moyamoya disease. Methods The intracranial vessels and changes of their hemodynamics were detected by TCD, color Doppler flow imaging (CDFI) and color Doppler energy (CDE) technique, and were compared with the results of DSA in 36 patients with Moyamoya disease. Results Of 24 patients with Moyamoya disease, 22 were confirmed by DSA after TCD examination, 1 was suspected and 1 was not diagnosed by TCD. The diagnosis in 96% of the patients made by TCD accorded with that by DSA. Twelve patients, diagnosed as Moyamoya disease by CDFI and CDE, were confirmed by DSA. Conclusion The intracranial vessels and changes of their hemodynamics can be observed real-time by TCD, CDFI and CDE. CDFI is sensitive to the blood flow in the stenosed vessels. CDFI and CDE are helpful to estimate accurately the occlusion and light stenosis of the intracranial vessels and of value to diagnosing Moyamoya disease. TCD, CDFI and CDE, which are noninvasive and received easily by the patients, should be first selected for diagnosing and following up the patients with Moyamoya disease. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
|
|
|
