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颈动脉疾病的识别

Recognition of carotid artery disease.

作者信息

Barid R N

出版信息

Ann R Coll Surg Engl. 1985 Sep;67(5):284-7.

PMID:3901861
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2499542/
Abstract

Ultrasound scanning of the carotid arteries in the neck was carried out in twelve hundred and eighty eight patients from 1979-1984 leading to 80 carotid endarterectomies. An ATL Duplex scanner was used to show localised atheroma at the origin of the internal carotid artery. In an arteriographic study, a localised carotid murmur was identified in 51 of 117 (44%) of carotid ulcers/stenoses. Major complications of 135 carotid angiograms included one death (0.7%) and four strokes (3%). Duplex scanning is a safe and rapid screening method for detecting carotid atheroma. With a current annual work load of 300 scans, 45 arteriograms and 15 endarterectomies, the screening/treatment ratio is 20:1.

摘要

1979年至1984年期间，对1288例患者进行了颈部颈动脉超声扫描，其中80例行颈动脉内膜切除术。使用ATL双功扫描仪显示颈内动脉起始处的局限性动脉粥样硬化。在一项动脉造影研究中，117例颈动脉溃疡/狭窄患者中有51例（44%）发现局限性颈动脉杂音。135例颈动脉血管造影的主要并发症包括1例死亡（0.7%）和4例中风（3%）。双功扫描是检测颈动脉粥样硬化的一种安全、快速的筛查方法。目前每年的工作量为300次扫描、45次动脉造影和15次内膜切除术，筛查/治疗比例为20:1。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2979/2499542/5a787eb78a86/annrcse01534-0016-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2979/2499542/824bd9878ea2/annrcse01534-0014-a.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2979/2499542/430a8f6effee/annrcse01534-0016-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2979/2499542/5a787eb78a86/annrcse01534-0016-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2979/2499542/824bd9878ea2/annrcse01534-0014-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2979/2499542/e0b43abb78d3/annrcse01534-0015-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2979/2499542/00db2424ee17/annrcse01534-0016-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2979/2499542/430a8f6effee/annrcse01534-0016-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2979/2499542/5a787eb78a86/annrcse01534-0016-c.jpg

相似文献

1
Recognition of carotid artery disease.颈动脉疾病的识别
Ann R Coll Surg Engl. 1985 Sep;67(5):284-7.
2
Characterisation of carotid artery disease: comparison of duplex scanning with histology.颈动脉疾病的特征：双功超声扫描与组织学的比较
Ultrasound Med Biol. 1985 Nov-Dec;11(6):835-40. doi: 10.1016/0301-5629(85)90077-8.
3
Symptomatic carotid ischaemic events: safest and most cost effective way of selecting patients for angiography, before carotid endarterectomy.有症状的颈动脉缺血事件：在颈动脉内膜切除术之前，选择患者进行血管造影的最安全且最具成本效益的方法。
BMJ. 1990 Jun 9;300(6738):1485-91. doi: 10.1136/bmj.300.6738.1485.
4
Screening of carotid arteries by noninvasive duplex scanning.通过无创性双功扫描筛查颈动脉。
Am J Surg. 1983 May;145(5):609-10. doi: 10.1016/0002-9610(83)90103-4.
5
Carotid surgery without arteriography: noninvasive selection of patients.
Ann Vasc Surg. 1991 May;5(3):253-6. doi: 10.1007/BF02329382.
6
Clinical and technical factors influencing recurrent carotid stenosis and occlusion after endarterectomy.影响颈动脉内膜切除术后复发性狭窄和闭塞的临床及技术因素。
J Vasc Surg. 1987 May;5(5):702-6.
7
[Determination of the degree of stenosis in carotid artery stenoses: ultrasound and i.v. DSA in comparison to surgical findings].[颈动脉狭窄程度的测定：超声和静脉数字减影血管造影与手术结果的比较]
Ultraschall Med. 1987 Apr;8(2):82-6. doi: 10.1055/s-2007-1011667.
8
Intraoperative assessment of carotid endarterectomy.颈动脉内膜切除术的术中评估
J Vasc Surg. 1984 Jan;1(1):73-83.
9
Doppler ultrasound assessment of the internal carotid artery following carotid endarterectomy.
Stroke. 1983 Nov-Dec;14(6):990-4. doi: 10.1161/01.str.14.6.990.
10
Closure of the internal carotid artery after endarterectomy: the advantages of patch angioplasty without its disadvantages.动脉内膜切除术后颈内动脉的闭合：补片血管成形术的优点及其无缺点之处。
Ann Vasc Surg. 1990 Jan;4(1):81-4. doi: 10.1007/BF02042696.

本文引用的文献

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