Mikol F, Monge-Strauss M F, Berges O, Aubin M L, Vignaud J
Rev Neurol (Paris). 1981;137(11):661-70.
Echotomography examinations of carotid bifurcation were conducted in 19 patients, with a real-time apparatus (71 crystals, 7 MHz). Serial transversal sections plus two or more longitudinal sections enabled identification by Echo-B of the three carotid arteries, and thus the bifurcation, in 37 instances. Arteriography was performed in 11 patients (21 carotid arteries). Correlation between Echo-B and arteriographic findings was good in 10 cases (including 1 case of occlusion and 2 of stenosis). There were 3 false negatives but no false positives. Echo-B did not detect the bifurcation on either side in one patient. The method is non-invasive, painless, and can be repeated without risk. It enables the detection of stenotic and occlusive lesions with a certain degree of reliability. It is also of value for demonstrating the presence of atheromatous plaques, and to some extent, irregularities in the arterial wall or variations of its diameter. It allows new perspectives for long-term following of patients after medical or surgical treatment.
对19例患者进行了颈动脉分叉处的超声断层检查，使用实时设备（71晶体，7兆赫）。通过连续横切面加上两个或更多纵切面，在37例中，Echo - B能够识别三条颈动脉，从而识别出分叉处。对11例患者（21条颈动脉）进行了动脉造影。Echo - B与动脉造影结果在10例中相关性良好（包括1例闭塞和2例狭窄）。有3例假阴性，但无假阳性。在1例患者中，Echo - B未检测到任何一侧的分叉处。该方法无创、无痛，可重复进行且无风险。它能够以一定的可靠性检测狭窄和闭塞性病变。对于显示动脉粥样硬化斑块的存在、在一定程度上显示动脉壁的不规则或其直径变化也有价值。它为药物或手术治疗后患者的长期随访提供了新的视角。
