Kornotzki M, Bohne B D
Regierungskrankenhaus der DDR, Berlin.
Zentralbl Chir. 1988;113(20):1315-9.
Reported in this paper is experience obtained from application of Doppler sonography to more than 2,000 examinations of patients with suspicion of cerebrovascular insufficiency. Indications for Doppler-type investigation are described together with criteria of Doppler sonography for positive detection of occlusive processes in greater brain-feeding arteries and for adequate assessment of results obtained from vascular surgery. The sensitivity of Doppler sonography amounted to 88.8 per cent and its specificity to 92.9 per cent, as recorded from 117 patients who had been angiographically followed up. Doppler ultrasonography for its high productivity in terms of wide-ranging diagnostic information was found to be the optional method for non-invasive diagnosis of occlusion in supra-aortic arteries, provided absence of contraindications.
本文报道了将多普勒超声检查应用于2000多例疑似脑血管供血不足患者检查的经验。描述了多普勒检查的适应症,以及多普勒超声检查用于阳性检测大脑主要供血动脉闭塞过程和充分评估血管手术结果的标准。对117例接受血管造影随访的患者进行记录,结果显示多普勒超声检查的敏感性为88.8%,特异性为92.9%。由于多普勒超声检查在提供广泛诊断信息方面具有很高的效率,因此在没有禁忌症的情况下,它被认为是无创诊断主动脉弓以上动脉闭塞的首选方法。