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颅内动脉狭窄的影像学诊断
引用本文:逯英,刘之荣,赵钢. 颅内动脉狭窄的影像学诊断[J]. 国际脑血管病杂志, 2010, 18(5). DOI: 10.3760/cma.j.issn.1673-4165.2010.005.007
作者姓名:逯英  刘之荣  赵钢
作者单位:第四军医大学西京医院神经内科,西安,710032
摘    要:颅内动脉粥样硬化性狭窄是缺血性卒中的重要病因之一.采用影像学方法诊断颅内动脉狭窄并精确评价狭窄程度,对于指导临床治疗至关重要.文章综述了经颅多普勒、经颅彩色双功超声、血管内超声、血管内镜、磁共振血管造影、CT血管造影和数字减影血管造影在诊断颅内动脉狭窄方面的优缺点、研究进展和临床应用价值,为临床医生选择理想的检查工具提供参考.

关 键 词:颅内动脉疾病  颅内动脉粥样硬化  卒中  超声检查,多普勒,经颅  脑血管造影术  磁共振血管造影术  体层摄影术,X线计算机  血管造影术,数字减影

The imaging diagnosis of intracranial artery stenosis
LU Ying,LIU Zhi-rong,ZHAO Gang. The imaging diagnosis of intracranial artery stenosis[J]. International Journal of Cerebrovascular Diseases, 2010, 18(5). DOI: 10.3760/cma.j.issn.1673-4165.2010.005.007
Authors:LU Ying  LIU Zhi-rong  ZHAO Gang
Abstract:Intracranial atherosclerotic stenosis is one of the important causes of ischemic stroke. It is of vital importance to guide clinical treatment using imaging methods to diagnose intracranial artery stenosis and accurately assess the degree of stenosis. This article reviews the advantages and shortcomings,advances and clinical application values of diagnosing intracranial artery stenosis using transcranial Doppler ultrasound,transcranial color-coded duplex sonography,intravascular ultrasound,magnetic resonance angiography,computed tomography angiography,and digital subtract angiography,which will provide references for clinicians to select ideal checking tools.
Keywords:Intracranial arterial diseases  Intracranial arteriosclerosis  Stroke  Ultrasonography,Doppler,transcranial  Cerebral angiography  Magnetic resonance angiography  Tomography,X-Ray computed  Angiography,digital subtraction
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