Büdingen H J, Hennerici M, Voigt K, Kendel K, Freund H J
Dtsch Med Wochenschr. 1976 Feb 20;101(8):269-75. doi: 10.1055/s-0028-1104073.
The diagnostic value of directional ultrasound Doppler-sonography (UDS) of the supratrochlear (medial frontal) artery was evaluated by examination of 191 angiographically controlled cases in whom a carotid obstruction was suspected. A systematic compression of the facial and temporal arteries of both sides was performed. In 108 cases the UDS findings were normal, 6% of these were false negative and actually had a stenosis (n = 6) or occlusion (n = 2) of the internal carotid artery. In 88% of the pathological findings a stenosis (n = 39) or occlusion (n = 34) of the internal carotid artery was revealed by angiography. 79% of the stenoses were of severe degree (more than 50%). These results show that UDS is a useful diagnostic tool for the detection of severe stenoses or occlusions of the internal carotid artery. A distinction between stenosis and occlusion by UDS of the supratrochlear artery is, however, not possible, unless additional examination of the carotid arteries is performed. The method is not suitable for the detection of low grade stenoses.
通过对191例怀疑有颈动脉阻塞且经血管造影对照的病例进行检查，评估了滑车上（额内侧）动脉的定向超声多普勒超声检查（UDS）的诊断价值。对双侧面部和颞动脉进行了系统压迫。108例UDS检查结果正常，其中6%为假阴性，实际上存在颈内动脉狭窄（n = 6）或闭塞（n = 2）。在88%的病理检查结果中，血管造影显示颈内动脉狭窄（n = 39）或闭塞（n = 34）。79%的狭窄为重度（超过50%）。这些结果表明，UDS是检测颈内动脉重度狭窄或闭塞的有用诊断工具。然而，除非对颈动脉进行额外检查，否则无法通过滑车上动脉的UDS区分狭窄和闭塞。该方法不适用于检测轻度狭窄。
