| 刘旭东,褚桐苇,杨敏,胡志强.超声评估手术治疗寰椎横突外压致颈内静脉狭窄效果[J].中国医学影像技术,2026,42(5):698~701 |
| 超声评估手术治疗寰椎横突外压致颈内静脉狭窄效果 |
| Ultrasound for evaluating surgical therapeutic effect of internal jugular vein stenosis caused by extracompression from atlas transverse process |
| 投稿时间：2026-01-26 修订日期：2026-03-09 |
| DOI：10.13929/j.issn.1003-3289.2026.05.009 |
| 中文关键词: 颈内静脉狭窄 寰椎 外科手术 超声检查 |
| 英文关键词:internal jugular vein stenosis cervical atlas surgical procedures, operative ultrasonography |
| 基金项目:北京市医院管理中心"扬帆"计划临床技术创新项目(ZLRK202512)。 |
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| 中文摘要: |
| 目的 观察以超声评估手术治疗寰椎横突外压致颈内静脉狭窄(IJVS)效果的可行性。方法 回顾性分析50例寰椎横突外压致IJVS患者,其中25例接受单纯寰椎横突部分磨除术(非联合组)、25例接受寰椎横突部分磨除术联合颈内静脉松解术及灌注治疗(联合组);基于术前1周内及术后3~6个月超声检查评估2组IJVS处内径、最大血流速度(Vmax)及平均血流量(FVm)变化,并进行组间比较。结果 2组术后患侧颈内静脉(IJV)J3段内径及FVm均显著大于术前(P均＜0.001),但术后Vmax与术前差异均无统计学意义(P均＞0.05)。联合组术前患侧IJV J3段内径、Vmax及FVm与非联合组差异均无统计学意义(P均＞0.05),而术后三者均大于非联合组(P均＜0.05)。结论 超声可用于评估手术治疗寰椎横突外压所致IJVS效果。 |
| 英文摘要: |
| Objective To observe the feasibility of ultrasound for evaluating surgical therapeutic effect of internal jugular vein stenosis (IJVS) caused by extracompression from atlas transverse process. Methods Fifty patients with IJVS caused by extracompression from atlas transverse process were retrospectively enrolled, including 25 cases who underwent partial grinding of the transverse process of atlas alone (non-combined group) and 25 cases who underwent partial grinding of the transverse process of atlas combined with internal jugular vein (IJV) release and perfusion (combined group). Based on ultrasound examinations within 1 week before and 3—6 months after surgery, changes of the inner diameter of IJV, the maximum blood flow velocity (Vmax) and the mean blood flow volume (FVm) at IJVS site were evaluated within groups, and the differences were compared between groups. Results After surgery, the inner diameter and FVm of J3 segment of IJV on the affected side were significantly larger than those before surgery (all P＜0.001), but no significant difference of Vmax was found before and after surgery in both groups (both P＞0.05). The inner diameter of J3 segment, Vmax and FVm of IJV on the affected side in combined group before surgery were not different from those in non-combined group (all P＞0.05), while all the three after surgery were larger than those in non-combined group (all P＜0.05). Conclusion Ultrasound could be used to evaluate the efficacy of surgical treatment for IJVS caused by extracompression from atlas transverse process. |
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