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连续发射多普勒检查对颈内动脉通透性评估的贡献(作者译)

[Contribution of continuous emission Doppler examination to the assessment of internal carotid artery permeability (author's transl)].

作者信息

Orgogozo J M, Laplagne J Y, Dartigues J F, Caillé J M, Beloussoff T

出版信息

Rev Neurol (Paris). 1981;137(10):601-12.

PMID:7323574
Abstract

Results of continuous emission directional Doppler examinations of 325 internal carotid arteries in 210 patients were compared with angiographic data. The sensitivity and specificity of the method were considered, and more particularly the predictive value of the Doppler examination for the diagnosis of obstruction and for assessing the permeability of the internal carotid arteries. The present work confirms that the Doppler examination is not valid for the diagnosis of non-obstructive emboligenic lesions of the artery, but is of definite value for determining the presence or absence of obstruction in nearly 100 p. cent of the cases. This excellent reliability suggests that Doppler examination should take place in planned investigations allowing to perform carotid angiography with less risks and a maximum therapeutic efficiency.

摘要

对210例患者的325条颈内动脉进行连续发射定向多普勒检查的结果与血管造影数据进行了比较。考虑了该方法的敏感性和特异性,更具体地说,考虑了多普勒检查对诊断阻塞以及评估颈内动脉通透性的预测价值。目前的研究证实,多普勒检查对于诊断动脉非阻塞性栓塞性病变无效,但对于确定近100%的病例中是否存在阻塞具有一定价值。这种出色的可靠性表明,多普勒检查应在有计划的检查中进行,以便在风险较小且治疗效率最高的情况下进行颈动脉血管造影。

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