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彩色多普勒超声在放疗所致颈动脉损伤中的诊治价值
引用本文:汪娜,李欣,张龙方,李利,寇海燕,周帆. 彩色多普勒超声在放疗所致颈动脉损伤中的诊治价值[J]. 医学影像学杂志, 2011, 21(3): 320-322
作者姓名:汪娜  李欣  张龙方  李利  寇海燕  周帆
作者单位:1. 中国人民解放军空军总医院超声科,北京,100036
2. 武警总医院超声科,北京,100039
摘    要:目的:探讨彩色多普勒超声(CDFI)在放疗所致颈动脉损伤中的诊治价值。方法:采用CDFI检查17例头颈部恶性肿瘤患者放疗后的颈动脉,并对行经皮颈动脉成形加血管内支架放置术(CAAS)治疗的重度及完全闭塞患者的疗效进行评价。结果:17例患者中,3例左锁骨下动脉重度狭窄;1例右锁骨下动脉远端闭塞;8例一侧或双侧颈内动脉中度以上狭窄,其中重度者3例;5例一侧或双侧颈总动脉中度以上狭窄,其中重度者2例。病变均位于照射野内。9例重度狭窄或闭塞的患者在DSA确诊后接受CAAS治疗。治疗后超声随访,放疗性动脉损伤病变为临床治愈。结论:CDFI是诊断放疗所致颈动脉损伤的有效手段,并对术后疗效评估提供了可靠的方法。

关 键 词:彩色多普勒超声  放射疗法  颈动脉损伤

Value of color Doppler flow imaging in the diagnosis and treatment of radiation-induced carotid artery injury
WANG Na,LI Xin,ZHANG Long-fang,LI Li,KOU Hai-yan,ZHOU Fan. Value of color Doppler flow imaging in the diagnosis and treatment of radiation-induced carotid artery injury[J]. Journal of Medical Imaging, 2011, 21(3): 320-322
Authors:WANG Na  LI Xin  ZHANG Long-fang  LI Li  KOU Hai-yan  ZHOU Fan
Affiliation:WANG Na1,LI Xin2,ZHANG Long-fang1,LI Li1,KOU Hai-yan2,ZHOU Fan21.Department of Ultrasound,Air Force General Hospital,PLA,Beijing 100142,P.R.China2.Department of Ultrasound,Chinese Armed Police Force General Hospital,Beijing 100039,P.R.China
Abstract:Objective:To evaluate the value of color Doppler flow imaging(CDFI) in the diagnosis and treatment of radiation-induced carotid artery injury.Methods:After radiotherapy,17 patients with head and neck cancer were performed CDFI of carotid,which was used to evaluate the efficacy of carotid artery angioplasty and stent(CAAS) with carotid artery severe stenosis or occlusion.Results:Among 17 patients,left subclavian artery severe stenosis in 3 cases,right subclavian artery occlusion in 1 case,moderate or severe ...
Keywords:Color Doppler imaging  Radiotherapy  Carotid artery injury  
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