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脉冲多普勒超声检测动脉硬化中的血流紊乱

Pulsed Doppler ultrasound detection of flow disturbances in arteriosclerosis.

作者信息

Felix R W, Sigel B, Gibson R J, Williams J, Popky G L, Edelstein A L, Justin J R

出版信息

J Clin Ultrasound. 1976 Aug;4(4):275-82. doi: 10.1002/jcu.1870040409.

DOI:10.1002/jcu.1870040409
PMID:133122
Abstract

Pulsed Doppler ultrasound blood flow detection has been used in a noninvasive manner to detect arterial abnormalities associated with arteriosclerosis. Sound spectrograms of ultrasound signals obtained from in vitro and animal studies in which flow was disturbed by obstacles placed in the flow stream showed a different distribution of energy over frequency than signals obtained from studies with no flow disturbances. Similar findings were seen clinically. A technique has been developed which can detect disturbed flow patterns resulting from partial occlusion in important superficial arteries (e.g. femoral and carotid) up to 15 cm distal to localized arterial wall abnormalities. Thirty-five arterial examinations of normal and arteriographically abnormal arteries in 12 patients revealed a sensitivity of 83 percent and a specificity of 61 percent. This study suggests that pulsed Doppler ultrasound may be useful as a screening technique for detection of arteriosclerotic lesions in major superficial arteries.

摘要

脉冲多普勒超声血流检测已被用于以非侵入性方式检测与动脉硬化相关的动脉异常。在体外和动物研究中,通过在血流中放置障碍物来干扰血流,所获得的超声信号声谱图显示出与无血流干扰研究中获得的信号相比,能量在频率上的分布不同。临床上也观察到了类似的发现。已经开发出一种技术,该技术可以检测重要浅表动脉(如股动脉和颈动脉)局部动脉壁异常远端达15厘米处因部分闭塞而导致的血流紊乱模式。对12例患者的正常动脉和血管造影异常动脉进行的35次动脉检查显示,敏感性为83%,特异性为61%。这项研究表明,脉冲多普勒超声可能作为一种筛查技术,用于检测主要浅表动脉的动脉硬化病变。

相似文献

1
Pulsed Doppler ultrasound detection of flow disturbances in arteriosclerosis.脉冲多普勒超声检测动脉硬化中的血流紊乱
J Clin Ultrasound. 1976 Aug;4(4):275-82. doi: 10.1002/jcu.1870040409.
2
Duplex ultrasound scanning of the carotid arteries with velocity spectrum analysis.采用速度频谱分析对颈动脉进行双功超声扫描。
Radiology. 1983 Jun;147(3):823-7. doi: 10.1148/radiology.147.3.6844621.
3
Comparison of ultrasound scanning/Doppler with digital subtraction angiography in evaluating carotid arterial disease.
Med Instrum. 1983 May-Jun;17(3):220-2.
4
Determination of vascular impedance in the peripheral circulation by transcutaneous pulsed Doppler ultrasound.经皮脉冲多普勒超声测定外周循环中的血管阻抗
Chest. 1995 Aug;108(2):515-21. doi: 10.1378/chest.108.2.515.
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Recent advances in carotid artery evaluation.
Clin Diagn Ultrasound. 1990;26:25-44.
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[Usability of the ultrasound Doppler flow-velocity measurement for the diagnosis of carotid stenoses].[超声多普勒血流速度测量在颈动脉狭窄诊断中的可用性]
Z Kardiol. 1974 Aug;63(8):755-67.
7
Flow velocity patterns in the carotid bifurcations of young, presumed normal subjects.年轻的、假定为正常受试者的颈动脉分叉处的血流速度模式。
Ultrasound Med Biol. 1983 Jan-Feb;9(1):39-49. doi: 10.1016/0301-5629(83)90108-4.
8
The diagnosis of minor to moderate atherosclerotic lesions in the carotid artery bifurcation by means of spectral broadening combined with the direct detection of flow disturbances using a multi-gate pulsed Doppler system.通过频谱展宽结合使用多门脉冲多普勒系统直接检测血流紊乱来诊断颈动脉分叉处的轻度至中度动脉粥样硬化病变。
Ultrasound Med Biol. 1988;14(6):459-64. doi: 10.1016/0301-5629(88)90105-6.
9
[Simultaneous use of ultrasound and pulsed Doppler with spectrum analysis of frequency in diseases of the cervical and cerebral vessels. Initial results].[超声与脉冲多普勒同时应用及频率频谱分析在颈脑血管疾病中的应用。初步结果]
J Mal Vasc. 1984;9(4):285-96.
10
Capabilities and limitations of pulsed Doppler sonography in carotid imaging.
J Clin Ultrasound. 1980 Oct;8(5):405-12. doi: 10.1002/jcu.1870080503.

引用本文的文献

1
The superiority of combined continuous wave Doppler examination over periorbital Doppler for the detection of extracranial carotid disease.与眶周多普勒检查相比,联合连续波多普勒检查在检测颅外颈动脉疾病方面的优势。
J Neurol Neurosurg Psychiatry. 1984 Jan;47(1):43-50. doi: 10.1136/jnnp.47.1.43.
2
Detection of carotid occlusive disease by pulsed Doppler spectral analysis.通过脉冲多普勒频谱分析检测颈动脉闭塞性疾病。
J Neurol Neurosurg Psychiatry. 1984 Dec;47(12):1307-13. doi: 10.1136/jnnp.47.12.1307.