经颅多普勒超声在脑血管疾病诊断中的应用价值研究
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摘要
目的探讨经颅多普勒超声(TCD)在脑血管疾病患者诊断中的影响。方法将该院于2016年2月—2018年10月间收治的306例诊断为脑血管疾病的患者为研究对象,均进行TCD检查,观察检查结果。结果 TCD对于枕叶脑梗死、小脑梗死、大面积脑梗死、多发梗死的检出率达到100.00%;对于巨大型动脉瘤TCD的检出率达到100.00%,高于小型动脉瘤检出率的11.67%,检出率对比差异有统计学意义(P<0.05)。结论脑血管疾病应用经颅多普勒超声进行疾病诊断,具有一定的诊断价值。
Objective To investigate the effect of transcranial Doppler(TCD) in the diagnosis of cerebrovascular diseases. Methods A total of 306 cases of cerebrovascular diseases diagnosed in our hospital from February 2016 to October 2018 were studied, and the results were observed. Results The detection rate of TCD for occipital lobe infarction,cerebellar infarction, large area infarction and multiple infarction was 100.00%. The detection rate of TCD in giant aneurysms was 100.00%, which was higher than that in small aneurysms(11.67%), the difference was significant(P<0.05). Conclusion Transcranial Doppler ultrasonography is valuable in the diagnosis of cerebrovascular diseases.
Objective To investigate the effect of transcranial Doppler(TCD) in the diagnosis of cerebrovascular diseases. Methods A total of 306 cases of cerebrovascular diseases diagnosed in our hospital from February 2016 to October 2018 were studied, and the results were observed. Results The detection rate of TCD for occipital lobe infarction,cerebellar infarction, large area infarction and multiple infarction was 100.00%. The detection rate of TCD in giant aneurysms was 100.00%, which was higher than that in small aneurysms(11.67%), the difference was significant(P<0.05). Conclusion Transcranial Doppler ultrasonography is valuable in the diagnosis of cerebrovascular diseases.
引文
[1]黄伟佳,黄理金.pCASL、3D-TOF-MRA与DSA在缺血性脑血管疾病诊断中的应用研究[J].中国实验诊断学,2017,21(4):607-609.
[2]陈丹.经颅多普勒超声(TCD)在脑血管疾病诊断中的应用体会[J].中国继续医学教育,2016,8(16):48-49.
[3]李继锋,亓恒新.在缺血性脑血管疾病诊断中pCASL、3D-TOF-MRA与DSA的比较[J].医学影像学杂志,2017,27(11):2065-2068.
[4]周林国,陈金波.经颅多普勒联合颈动脉超声与数字减影血管造影在缺血性脑血管疾病诊断中的对比分析[J].影像研究与医学应用,2018,2(1):24-25.
[5] Larovere K L,O'Brien N F.Transcranial Doppler Sonography in Pediatric Neurocritical Care[J].Journal of Ultrasound in Medicine Official Journal of the American Institute of Ultrasound in Medicine,2015,34(12):2121-32.
[6]孟军.经颅多普勒联合颈动脉超声对缺血性脑血管疾病诊断效果对比[J].世界临床医学,2017,11(8):224.
[7]吴伟晴,廖淑萍,林小兰,等.彩色多普勒超声联合血清同型半胱氨酸诊断脑血管疾病的价值[J].海南医学,2015,26(24):3643-3645.
[8]刘鸣,刘峻峰,吴波,等.脑血管病分类分型进展与解读[J].中华神经科杂志,2017,50(3):163-167.
[9]中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组,中华医学会神经病学分会神经影像学协作组,等.中国脑血管超声临床应用指南[J].中华神经科杂志,2016,49(7):507-518.
[10] Larovere K L.Transcranial Doppler ultrasound in children with stroke and cerebrovascular disorders.[J].Current Opinion in Pediatrics,2015,27(6):712-8.
[11] Stroobant N,Van N G,Vingerhoets G. Effect of cardiovascular disease on hemodynamic response to cognitive activation:a functional transcranial Doppler study[J].European Journal of Neurology,2015,11(11):749-754.
[12]李金生,门永忠,郭兴,等.经颅多普勒联合颈动脉超声与数字减影血管造影在缺血性脑血管疾病诊断中的对照研究[J].中国实用神经疾病杂志,2017,20(14):56-58.
[2]陈丹.经颅多普勒超声(TCD)在脑血管疾病诊断中的应用体会[J].中国继续医学教育,2016,8(16):48-49.
[3]李继锋,亓恒新.在缺血性脑血管疾病诊断中pCASL、3D-TOF-MRA与DSA的比较[J].医学影像学杂志,2017,27(11):2065-2068.
[4]周林国,陈金波.经颅多普勒联合颈动脉超声与数字减影血管造影在缺血性脑血管疾病诊断中的对比分析[J].影像研究与医学应用,2018,2(1):24-25.
[5] Larovere K L,O'Brien N F.Transcranial Doppler Sonography in Pediatric Neurocritical Care[J].Journal of Ultrasound in Medicine Official Journal of the American Institute of Ultrasound in Medicine,2015,34(12):2121-32.
[6]孟军.经颅多普勒联合颈动脉超声对缺血性脑血管疾病诊断效果对比[J].世界临床医学,2017,11(8):224.
[7]吴伟晴,廖淑萍,林小兰,等.彩色多普勒超声联合血清同型半胱氨酸诊断脑血管疾病的价值[J].海南医学,2015,26(24):3643-3645.
[8]刘鸣,刘峻峰,吴波,等.脑血管病分类分型进展与解读[J].中华神经科杂志,2017,50(3):163-167.
[9]中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组,中华医学会神经病学分会神经影像学协作组,等.中国脑血管超声临床应用指南[J].中华神经科杂志,2016,49(7):507-518.
[10] Larovere K L.Transcranial Doppler ultrasound in children with stroke and cerebrovascular disorders.[J].Current Opinion in Pediatrics,2015,27(6):712-8.
[11] Stroobant N,Van N G,Vingerhoets G. Effect of cardiovascular disease on hemodynamic response to cognitive activation:a functional transcranial Doppler study[J].European Journal of Neurology,2015,11(11):749-754.
[12]李金生,门永忠,郭兴,等.经颅多普勒联合颈动脉超声与数字减影血管造影在缺血性脑血管疾病诊断中的对照研究[J].中国实用神经疾病杂志,2017,20(14):56-58.