Boudin G, Guillard A, Romion A
Nouv Presse Med. 1977;6(27):2423-6.
The authors compare findings at arteriography and Doppler ultrasound examination in 127 cases of cerebrovascular accident. There was an excellent degree of agreement in cases of internal carotid occlusion. It was less good with carotid stenoses where the Doppler examination gave false positive results in one case out of four and false negatives in one out of three. Thus the correlation between Doppler and arteriography results are not sufficiently cloe to completely change the attitude of the neurologist in the selection of those patients in whom arteriographic studies are indicated in order to detect a surgically curable lesion.
作者比较了127例脑血管意外患者的动脉造影和多普勒超声检查结果。在颈内动脉闭塞的病例中,两者结果高度一致。对于颈动脉狭窄,一致性稍差,多普勒检查在四分之一的病例中出现假阳性结果,在三分之一的病例中出现假阴性结果。因此,多普勒检查结果与动脉造影结果之间的相关性不够紧密,不足以完全改变神经科医生在选择那些需要进行动脉造影检查以发现可手术治愈病变的患者时的态度。