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[双向和经颅多普勒研究在椎基底动脉区域血管损伤中的价值:37例]

[Value of bidirectional and transcranial Doppler studies in vascular insults of the vertebro-basilar area: 37 cases].

作者信息

Uldry P A, Despland P A

机构信息

Centre EEG-EMG et de diagnostic neurophysiologique, Centre hospitalier universitaire vaudois (CHUV), Lausanne.

出版信息

Schweiz Med Wochenschr. 1992 Aug 15;122(33):1212-8.

PMID:1529307
Abstract

The examination techniques for identification of extra- and intracranial vertebral and basilar arteries are described. The clinical, Doppler sonographic and angiographic findings in 37 patients are presented and discussed. The vessels were recorded from a nuchal position via the posterior bone and/or the foramen magnum. A good correlation with the angiographic findings was found in 75.6% of cases but false-positive or false-negative results were observed in 9 patients. These results are good for Doppler evaluation of patients with vertebrobasilar circulation abnormalities, though angiography is still indicated when making a therapeutic decision.

摘要

本文描述了用于识别颅外和颅内椎动脉及基底动脉的检查技术。呈现并讨论了37例患者的临床、多普勒超声和血管造影结果。通过后颅骨和/或枕骨大孔从颈部位置记录血管。75.6%的病例与血管造影结果有良好的相关性,但9例患者出现了假阳性或假阴性结果。这些结果对于椎基底动脉循环异常患者的多普勒评估是良好的,不过在做出治疗决策时仍需进行血管造影。

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