唐志鹏  李辉  陈荣举

[摘要]目的 探讨彩色多普勒在颈动脉内膜切除术中的临床价值。 方法 回顾性分析颅外段颈动脉狭窄患者40例的彩色多普勒资料，分析其在颈动脉内膜切除术中临床价值。 结果 80支血管，其中单侧病变14例，双侧病变26例，共观察到有66支血管发生病变。其中中度狭窄10支，重度狭窄48支，闭塞8支。彩色多普勒结果：80支血管中，66支显示狭窄，彩色多普勒对颈动脉狭窄程度的判断于DSA相似，没有显著差异（P＞0.05）。 结论 彩色多普勒用于颈动脉狭窄的检测具有无创、操作简便等优点。

[关键词] 彩色多普勒；动脉内膜切除术；数字减影血管造影

[中图分类号] R445.1   [文献标识码] B   [文章编号] 2095-0616（2014）08-92-03

Clinical significance of CDFI in diagnosis of carotid artery stenosis

TANG Zhipeng  LI Hui  CHEN Rongju

Department of Neurosurgery, Shenyang First People's Hospital, Shenyang Brain Hospital, Shenyang 110041, China

[Abstract] Objective To discuss clinical significance of CDFI in diagnosis of carotid artery stenosis. Methods Retrospectivly analyzed clinical data of 40 cases with cerebral ischemic disease were detected by CDFI and DSA. Clinical significance of CDFI in diagnosis of carotid artery stenosis was analyzed. Results Amomg 80 vasculars, patients with unilateral disorder were 14 cases, patients with lateral disorder were 26 cases, and 66 vasculars showed disorder. Ten vasculars showedmoderate stenosis, 48 vasculars showed severe stenosis, and 8 vasculars showed block. CDFI showed 66 vasculars with carotid artery stenosis. Results of CDFI in diagnosis degree of carotid artery stenosis were similar with DSA(P＞0.05) . Conclusion Carotid artery CDFI possesses noninvasive, simple and convenient in diagnosis of carotid artery stenosis.

[Key words] CDFI; Endarterectomy; DSA

颈动脉狭窄是导致脑部供血不足的重要原因之一，及时诊断治疗对预防缺血性脑卒中具有重要的意义。目前对于中重度颈动脉狭窄的患者使用颈动脉内膜切除术能够有效预防缺血性脑卒中的发生[1-2]。彩色多普勒超声能够检测血管疾病，同时具有无创的有点，容易被患者接受。本研究通过对40例颈动脉内膜切除术患者彩色多普勒的临床资料，分析其在颈动脉内膜切除术中的临床意义。现报道如下。

1 资料与方法

1.1 一般资料

回顾性分析2013年1~12月在我院因颈动脉狭窄行颈动脉内膜切除术的40例患者的临床资料，其中男22例，女18例，年龄46~75岁，平均（54.2±8.4）岁。其中合并TIA 13例，高血压25例，糖尿病18例，高甘油三酯12例，胆固醇升高24例。入选患者术前有脑部缺血相关症状及体征，行数字减影血管造影以及彩色多普勒检查提示为一侧或者双侧颈动脉狭窄。……