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超声造影在缺血性脑血管病诊断中的应用价值
引用本文:孟焱,张丹,翟林,张岚. 超声造影在缺血性脑血管病诊断中的应用价值[J]. 临床超声医学杂志, 2009, 11(10): 681-683
作者姓名:孟焱  张丹  翟林  张岚
作者单位:首都医科大学附属复兴医院超声科,北京市,100038
摘    要:目的探讨超声造影对缺血性脑血管病的诊断价值。方法对30例颈动脉粥样硬化患者的43处斑块行超声造影检查,并行大脑中动脉造影检查,8例行椎动脉造影。结果颈动脉斑块造影后,36个斑块见增强,7个斑块无增强;大脑中动脉造影:清晰显影55条,流速增高13条;椎动脉造影:2例提示小脑后下动脉病变。结论颈动脉超声造影联合颅内Willis环及椎动脉的微小剂量造影检查,对缺血性脑血管病的诊断提供了一种安全、有效的方法。

关 键 词:超声检查  造影剂  缺血性脑病

Application value of contrast-enhanced ultrasound in diagnosis of ischemic cerebrovascular disease
MENG Yan,ZHANG Dan,ZHAI Lin,ZHANG Lan. Application value of contrast-enhanced ultrasound in diagnosis of ischemic cerebrovascular disease[J]. Journal of Ultrasound in Clinical Medicine, 2009, 11(10): 681-683
Authors:MENG Yan  ZHANG Dan  ZHAI Lin  ZHANG Lan
Affiliation:(Department of Ultrasound, Fuxing Hospital Affiliated to Capital University of Medical Sciences, Beijing 100038, China)
Abstract:Objective To explore the value of contrast-enhanced ultrasound in diagnosis of ischemic cerebrovascular disease. Methods Thirty cases with 43 carotid atheroselerotic plaques were examined by contrast-enhanced ultrasound,and then examined by middle cerebral arteriography, 8 cases were examined by vertebral arteriography. Results According to the analysis of carotid atherosclerotic plaques contrast-enhanced ultrasound, 7 cases were not enhanced. Fifty - five MCA were showed clearly with flow rate increased in 13 cases. There were 2 cases with posterior inferior cerebellar artery diseases aecording to vertebral arteriography. Conclusion Contrast-enhanced ultrasound of carotid artery combined with Willis circellus and microdose contrast-enhanced examination is an effective and safe method in diagnosis of ischemic cerebrovascular disease.
Keywords:Ultrasonography  Contrast media  Ischemic cerebrovaseular disease
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