Bezinque S L, Slovis T L, Touchette A S, Schave D M, Jarski R W, Bedard M P, Martino A M
Children's Hospital of Michigan, Detroit 48201-2196, USA.
Pediatr Radiol. 1995;25(3):175-9. doi: 10.1007/BF02021526.
The objective of the investigation was to determine what effect intracranial pathology has on alterations of superior sagittal sinus blood flow, and to determine the role of color flow Doppler imaging of the superior sagittal sinus in the diagnosis of intracranial pathology in the neonate and infant. One hundred examinations were performed prospectively in 96 patients. The velocity was determined with an angle correction at 30-60 degrees and was obtained with and without gentle transducer compression. Superior sagittal sinus thrombosis was identified in two patients by the absence of flow. Multiple t-tests for independent measures showed no clinically significant differences between flow velocities with regard to intracranial hemorrhage, ventriculomegaly, extracorporeal membrane oxygenation therapy or prematurity. The authors conclude that color flow Doppler can accurately diagnose superior sagittal sinus thrombosis and may be used to screen high risk neonates such as those with thrombosis elsewhere or those treated with extracorporeal membrane oxygenation. No clinically significant associations were found between superior sagittal sinus flow velocity and any of the parameters evaluated in this study.
本研究的目的是确定颅内病变对上矢状窦血流改变有何影响，并确定上矢状窦彩色多普勒成像在新生儿和婴儿颅内病变诊断中的作用。前瞻性地对96例患者进行了100次检查。在30 - 60度角校正下测定流速，且在使用和不使用探头轻压的情况下获取流速。通过血流缺失在两名患者中确诊上矢状窦血栓形成。独立样本的多次t检验显示，在颅内出血、脑室扩大、体外膜肺氧合治疗或早产方面，流速之间无临床显著差异。作者得出结论，彩色多普勒可准确诊断上矢状窦血栓形成，并可用于筛查高危新生儿，如其他部位有血栓形成的新生儿或接受体外膜肺氧合治疗的新生儿。本研究未发现上矢状窦流速与所评估的任何参数之间存在临床显著关联。
