血管彩超、TCD、MRA在短暂性脑缺血发作中的价值

目的 探讨血管彩超、TCD及MRA在短暂性脑缺血发作(TIA)治疗中的作用。方法 对42例确诊TIA的病人的血管彩超、TCD、MRA发现的病变的部位、数量进行分析。结果 TIA患者动脉粥样硬化、狭窄病变明显，阳性率在彩超检测中为67．6％，TCD为77．5％，MRA中为78．5％，病变主要累及大脑中动脉水平段及颈内动脉起始段。结论 应对TIA患者常规进行血管彩超、TCD和／或MRA检查以指导相应的治疗方案如药物治疗、颈动脉内膜剥脱术或行血管成形术治疗方案。

The value of color Doppler Ultrasonography, TCD and MRA in Transient ischemic attack(TIA)

Objective To investigate the role of Ultrasonography, TCD and MRA for the treatment decision of patient with TIA. Methods analyze the date of 42 patients with TIA examined by color Doppler Ultrasonography, TCD or MRA, including the number and location of pathology. Results The artherosclerosis and stenosis in TIA patients was significant, masculine rate in Ultrasonography, TCD and MRA was 67.6% 77.5% and 78.5% respectively. The major pathological location was involed in the horizonal part of middle cerebral artery and initial part of internal carotid artery. Conclusions The TIA patients must be examined by color Doppler Ultrasonography, TCD and/or MRA to guide the treatment.