复发性脑血管病病人颈部血管超声及脑血管造影分析 |
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引用本文: | 覃莲,;黄进瑜,;梁海冰. 复发性脑血管病病人颈部血管超声及脑血管造影分析[J]. 康复与疗养杂志, 2008, 0(1): 35-37 |
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作者姓名: | 覃莲, 黄进瑜, 梁海冰 |
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作者单位: | [1]柳州医学高等专科学校第一附属医院神经内科,广西柳州545002; [2]柳州医学高等专科学校第一附属医院B超室,广西柳州545002 |
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摘 要: | 目的探讨复发性脑血管病病人颈部及颅内段血管病变的影像学特点。方法对30例复发性脑血管病病人的颈部血管超声及全脑血管造影(DSA)结果进行分析。结果颈部血管超声检查病变阳性率70.0%;DSA证实的颅外段血管异常与超声相比有较高的吻合率(75.0%-92.3%),发现颅内分支血管病变占36.7%。结论颈部血管超声检查对复发性脑血管病病人诊断有较高准确性;而由于中青年病人往往颅内、外段血管病变程度不一致,DSA在中青年病人病因明确及干预措施的选择上有重要价值。
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关 键 词: | 脑血管意外 复发 超声检查 颈 血管造影术,数字减影 |
CAROTID-ARTERY ULTRASONOGRAPHY AND BRAIN ANGIOGRAPHY IN PATIENTS WITH RECURRENT CEREBROVASCULAR DISEASE: AN ANALYSIS |
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Affiliation: | QIN LIAN, HUANG JIN-YU, LIANG HAI-BING (Department of Neurology, The First Affiliated Hospital of Liuzhou Medical College, Liuzhou 545002, China) |
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Abstract: | Objective To study the features of carotid and intracranial vasculopathy in patients with recurrent cerebrovascular disease. Methods The data of carotid-vascular ultrasonography and digital substraction angiography (DSA) were analyzed in 30 patients. Results The positive rate of ultrasonography was 70.0%, DSA showed the coincidence of the vascular abnormality of extracranial portion was higher (75.0 % -92.3 % ) than sonography. The intracranial vasculopathy was 36.7 % detected by DSA. Conclusion Carotid-vascular ultrasonography has higher accuracy in detecting recurrent stroke, but DSA is of greater value in diagnosing and treating the young and middle-aged patients because their intra- and extracranial vasculopathy was inconsistent. |
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Keywords: | Cerebrovascular accident Recurrence Ultrasonography Neck Angiography, digital subtraction |
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