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经颅多普勒超声在梅尼埃病诊断中的应用
引用本文:徐风鸣. 经颅多普勒超声在梅尼埃病诊断中的应用[J]. 国际医药卫生导报, 2006, 12(12): 78-80
作者姓名:徐风鸣
作者单位:东莞市人民医院第一门诊部,广东,东莞,523000
摘    要:目的探讨经颅多普勒超声(TCD)在梅尼埃病与脑血管性眩晕鉴别诊断中的应用价值.方法利用TCD探查53例临床初步诊断为梅尼埃病的53例病人眩晕缓解期颈内动脉系统和椎-基底动脉系统血流情况.结果53例患者中,椎-基底动脉系统血液流速及血管搏动指数异常,提示血管腔狭窄或闭塞、血管壁弹性和顺应性降低者16例;未发现颈内动脉系统血流情况异常者.结论TCD能对椎-基底动脉系统大血管的血流动力学及血管情况进行客观评价,可作为诊断梅尼埃病的常规检查应用于临床,以鉴别梅尼埃病与椎基底动脉供血不足所致的眩晕.

关 键 词:经颅多普勒超声  梅尼埃病  诊断
文章编号:1007-1245(2006)12-0078-03
收稿时间:2006-03-01
修稿时间:2006-03-01

Application of Transcranial Doppler ultrasonography in the diagnosis of Meniere disease
XU Fengming. Application of Transcranial Doppler ultrasonography in the diagnosis of Meniere disease[J]. International Medicine & Health Guidance News, 2006, 12(12): 78-80
Authors:XU Fengming
Abstract:Objective To assess the significance of Transcranial Doppler ultrasonography (TCD) in thedifferential diagnosis of Meniere disease and cerebral vascular vertigo. Methods 53 patients withMeniere disease diagnosed by ENT doctors were detected of blood flow condition of both internalcarotid and vertebro-basilar artery system with Transcranial Doppler ultrasonography. Results Amongthe 53 cases, 16 showed abnormality of both blood flow rate and pulsatility index of vertebro-basilarartery system, which indicated stenosis or even obstruction, and loss of flexibility and complianceof the corresponding blood vessels.Conclusion TCD proves to be an objective, reliable and noninvasiveindicator for the differential diagnosis of Meniere disease and vertebro-basilar artery insufficiency.
Keywords:Transcranial Doppler ultrasound Meniere disease Diagnosis
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