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[双功扫描在诊断颈椎退行性疾病中椎动脉血管外压迫方面的作用]

[The role of duplex scanning in diagnosing extravasal compression of vertebral arteries in degenerative diseases of the cervical part of the spine].

作者信息

Shchedrenok V V, Zakhmatova T V, Sebelev K I, Moguchaia O V

出版信息

Vestn Khir Im I I Grek. 2011;170(5):38-40.

Abstract

The method of duplex scanning was used in examination of 210 patients with degenerative-dystrophic diseases of the cervical part of the spine. It allows quantitative and qualitative assessment of the local and systemic hemodynamic value of extravasal compression of vertebral arteries. Local hemodynamic shifts in the area of extravasal influences on the artery were detected in 72.9% of the patients: decreased indices of blood flow and increased indices of peripheral resistance proximal to the compression zone, growing blood velocity in the area of the artery course deformity, in the place of its lumen constriction, decreased blood flow indices and indices of peripheral resistance distally to the compression zone. The assessment of blood flow in the vertebral arteries allows determination of the strategy of treatment of patients with degenerative-dystrophic diseases of the cervical part of the spine.

摘要

采用双功扫描法对210例颈椎退行性营养不良性疾病患者进行检查。该方法可对椎动脉血管外压迫的局部和全身血流动力学值进行定量和定性评估。72.9%的患者检测到血管外对动脉影响区域的局部血流动力学改变:压迫区近端血流指数降低,外周阻力指数升高,动脉走行畸形区域、管腔狭窄处血流速度增加,压迫区远端血流指数和外周阻力指数降低。对椎动脉血流的评估有助于确定颈椎退行性营养不良性疾病患者的治疗策略。

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