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头晕或眩晕患者TCD检测血管狭窄率分析
引用本文:刘俊艳,汪波,高山,王爱华,黄一宁.头晕或眩晕患者TCD检测血管狭窄率分析[J].中国超声医学杂志,1999,0(1):52-54.
作者姓名:刘俊艳  汪波  高山  王爱华  黄一宁
作者单位:1. 河北医科大学附属第三医院神经内科,050051
2. 100730,中国协和医科大学协和医院神经内科
3. 山东省千佛山医院神经内科
摘    要:目的:分析头晕、眩晕患者的颅内外血管狭窄的发生率及其与高血压、糖尿病及年龄的关系。方法:通过TCD检测2159例以头晕、眩晕症状就诊患者的颅内外血管狭窄率。结果:头晕患者血管狭窄率为13.42%,眩晕患者血管狭窄率为17.35%,两组间比较有显著差异(p<0.05),且眩晕组椎-基底动脉狭窄率明显高于头晕组(p<0.000),两组患者血流速度减低率分别为9.16%、6.85%,无显著差异(p>0.05)。两组患者中107例颅外血管狭窄,208例颅内血管狭窄。前循环血管狭窄173例、28例后循环狭窄。诊断为Moyamoya病患者3例,锁骨下动脉盗血综合征患者33例。高血压患者颅内血管狭窄较常见。而糖尿病患者颈动脉系统及颅外各血管受累多见。年龄因素对颅内外各血管的狭窄及血汉速度减低均有相关性。结论:我们认为眩晕患者椎基底动脉狭窄的发生率明显高于头晕患者。两组患者血流速度减低率以后循环为主。血管狭窄以前循环及颅内血管更常见

关 键 词:头晕  眩晕  经颅多普勒超声  血管狭窄

TCD Detecting the Stenosis Incidence of the Cerebral Arteries in Dizziness and Vertigo Patients
Liu Junyan,Wang Bo,Gao Shan,et al Dept.Neurology,Peking Union Medical College Hospital,Beijing.TCD Detecting the Stenosis Incidence of the Cerebral Arteries in Dizziness and Vertigo Patients[J].Chinese Journal of Ultrasound in Medicine,1999,0(1):52-54.
Authors:Liu Junyan  Wang Bo  Gao Shan  DeptNeurology  Peking Union Medical College Hospital  Beijing
Institution:Liu Junyan,Wang Bo,Gao Shan,et al Dept.Neurology,Peking Union Medical College Hospital,Beijing 100730
Abstract:Objective:To detect the incidence of the extra and intra cerebral artery stenosis in 2159 dizziness and vertigo patients with TCD.Method:CCA,ECA,ICAe,Subcla,TICA,MCA,ACA,PCA,VA and BA,total 19 arteries were detected with IC 4040,2 MHz,4 MHz probe were used to seek the velocity,the spectrum,the acoustic frequency and PI.Results:Stenosis incideces of the vessels of the dizziness and vertigo patients were 13 42% and 17 35% respectively,markedly difference appeared even more in the VA BA of the dizziness group.The velocities of both groups were decreased to 9 16% and 6 85% respectively without significant difference.Total 107 extracranial blood vessels and 208 intracranial blood vessels stenosis were found with occurrence of 173 in anterior circulation and 28 in posterior circulation.Another 3 moyamoya cases and 33 SASS cases were diagnosed.Intracranial stenosis more frequently occurred in hypertension.Both sides internal carotid arteries and extracranial vessels more frequently involved in diabetes mellitus.Age factor was greatly correlated to stenosis and decreased velocity.Conclusion:The incidence of VA BA stenosis in vertigo patients is obviously higher than those dizziness patients.
Keywords:Vertigo  Dizziness  Transcranial Doppler  Vessel stenosis  
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