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高频线阵探头联合腔内凸阵探头诊断颈内动脉闭塞的临床价值

姜薇   

  1. 沈阳医学院附属第二医院超声科
  • 收稿日期:2013-12-16 修回日期:2014-05-08 出版日期:2014-11-15 发布日期:2014-11-15
  • 通讯作者: 姜薇

Values of High Frequency Linear Array Probe Combined with Endoluminal Convex Array Probe in Diagnosis of Internal Carotid Artery Occlusion

JIANG Wei   

  1. Department of Ultrasonography,the Second Hospital of Shenyang Medical College
  • Received:2013-12-16 Revised:2014-05-08 Published:2014-11-15 Online:2014-11-15
  • Contact: JIANG Wei

摘要:

【摘要】 目的 探讨超声高频线阵探头与腔内凸阵探头联合应用诊断颈内动脉闭塞的临床价值, 提高超声诊断的准确率。 方法 490 例临床怀疑缺血性脑血管病患者进行颈动脉超声检查。 先以高频探头筛查出可疑颈内动脉闭塞患者, 再以腔内凸阵探头进行复检, 对比观察 2 种探头的检测结果。 结果 高频线阵探头筛查出可疑颈内动脉闭塞患者 68 例, 经腔内凸阵探头复检, 诊断颈内动脉闭塞者 42 例, 颈内动脉重度狭窄者 19 例, 颈内动脉走行深在迂曲无明显狭窄者 7 例。 结论 腔内凸阵探头可作为颈内动脉检查的有效补充手段, 与高频线阵探头联合应用, 能够更准确地诊断颈内动脉闭塞及狭窄的程度和范围, 减少误诊。

关键词: 超声检查, 多普勒, 彩色, 颈动脉疾病, 诊断显像, 高频线阵探头, 腔内凸阵探头

Abstract:

[Abstract]   Objective   To assess the value of endoluminal convex array probe combined with high frequency linear
array probe in diagnosis of internal carotid artery occlusion, and to improve the diagnostic accuracy rate of ultrasonography.   Methods   Patients suspected with ischemic cerebrovascular disease (n=490) were examined by carotid ultrasound. First, suspicious patients with carotid artery occlusion were selected using high-frequency linear array probe, then screen results were confirmed by endoluminal convex array probe and compared with previous results in those patients.   Results   Sixty eight patientswho were suspected of internal carotid artery occlusionwere screened out by high-frequency linear array probe. Results were re-examined by endoluminal convex array probe, 42 patients were diagnosed as internal carotid artery occlusion, 19 patients were diagnosed as severe stenosis as the internal carotid artery and 7 patients were diagnosed as ca?rotid artery tortuosity with no significant stenosis. Conclusion   Endoluminal convex array probe is an effective complement for internal carotid arterial inspection when it combines with high-frequency linear probe. It can improve the diagnostic accuracy rate of degree and the range in internal carotid artery occlusion and stenosis, therefore reduce chances of misdiagnosis.

Key words: ultrasonography, doppler, color, carotid artery diseases, diagnostic imaging, High frequency linear array probe, Endoluminal convex array probe