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多普勒超声技术与血管造影、术中压力梯度及颈动脉手术中血流测量的比较(作者译)

[Doppler ultrasound technique compared to angiography, intraoperative pressure gradients and blood flow measurements in carotid surgery (author's transl)].

作者信息

Liljeqvist L, Ekeström S, Nordhus O

出版信息

Thoraxchir Vask Chir. 1977 Aug;25(4):266-71. doi: 10.1055/s-0028-1097041.

Abstract

Doppler ultrasound technique was used in 32 patients to differentiate between non-signigicant stenosis, significant stenosis and occlusion of the internal carotid artery. The results were then compared to angiographic findings and peroperative pressure gradients and blood flow measurements. The Doppler examinations showed good agreement with the angiograms. Pathologic Doppler results were positively correlated to a high pressure gradient but were not correlated to the internal carotid blood flow. Pre- and postoperatively the Doppler ultrasound examinations increased the diagnostic security, improved the assessment of the hemodynamic significance of a stenosis and made in some cases an angiogram unnecessary.

摘要

采用多普勒超声技术对32例患者的颈内动脉非显著性狭窄、显著性狭窄和闭塞进行鉴别。然后将结果与血管造影结果、术中压力梯度及血流测量结果进行比较。多普勒检查结果与血管造影结果高度吻合。多普勒检查的病理结果与高压力梯度呈正相关,但与颈内动脉血流无关。术前和术后,多普勒超声检查提高了诊断的准确性,改善了对狭窄血流动力学意义的评估,在某些情况下无需进行血管造影。

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