颈部超声和脑血管造影术在老年性缺血性脑血管病诊断中的应用-《西部中医药》

文章信息/Info

Title:: Application of Carotid Duplex Ultrasound and Cerebral DSA to the Diagnosis of Senile Ischemic Cerebrovascular Disease

Author(s):: CHEN Ping, QIN Qin, QI Xiaodong, GE Jinfeng, YANG Huijuan, ZHANG Qian; Tianshui Combine Traditional Chinese and Western Medicine Hospital, Tianshui 741020, China

Keywords:: ischemic cerebrovascular disease; carotid duplex ultrasound; cerebral DSA

摘要:: 目的：探讨老年性缺血性脑血管病患者颈部血管彩超和脑血管DSA检查的相关性，为临床提供直接有效的诊断依据。方法：在119例颈部血管超声检查中筛选31例单纯性颈动脉硬化或合并颈动脉粥样硬化斑的患者，并在1周内进行脑血管DSA检查，观察脑血管狭窄的部位、程度以及有无溃疡形成。结果：老年性缺血性脑血管病患者行颈部血管彩超有硬化斑块、狭窄性病变，均提示有脑血管病变，故老年性患者如有颈动脉粥样硬化时，需进一步检查脑血管DSA；并且发现颈动脉粥样硬化时，在行脑血管DSA时导管应预防损伤斑块，防止术中发生脑栓塞。结论：颈部血管彩超与脑血管DSA二者结合，能更好地为临床提供有效直接的诊断依据，对早期诊断其缺血性脑血管病有一定的参考价值。

Abstract:: Objective: To provide direct and effective diagnostic evidence in clinic by exploring the relativity between carotid duplex ultrasound and cerebral DSA of senile patients with ischemic cerebrovascular disease. Methods: All 31 patients proved with simple carotid sclerosis or complicated with carotid atherosclerotic plaque were screened in carotid duplex ultrasound of 119 patients, and they were performed with cerebral DSA within one week, the locations and degrees of cerebrovascular stenosis and whether there was ulceration were observed. Results: Atherosclerotic plaque or stenosis found in the carotid duplex ultrasound of the patients with senile ischemic cerebrovascular disease suggested that there was cerebral vascular disease; therefore, if senile patients were with carotid atherosclerotic plaque, it's necessary to perform cerebrovascular DSA; at the same time, if carotid sclerosis was found, the plaque should be prevented when DSA was performed, in order to prevent the incidence of cerebral embolism. Conclusion: The combination of carotid duplex ultrasound and cerebral DSA could provide effective and direct diagnostic evidence in clinic, which shows the reference and guide for early diagnosis of ischemic cerebrovascular disease.