颈性眩晕的椎动脉形态学改变及其对血流速的影响
摘要点击次数: 1955   全文下载次数: 952   投稿时间:2003-06-22    
作者Author单位AddressE-Mail
范炳华 FAN Bing-hua 浙江医院,浙江杭州310013 Hospital of Zhejiang fanbinhua@sina.com.cn 
吴良浩 WU Liang-hao 浙江医院,浙江杭州310013 Hospital of Zhejiang  
张杰 ZHANG Jie 浙江医院,浙江杭州310013 Hospital of Zhejiang  
胡军飞 HU Jun-fei 浙江医院,浙江杭州310013 Hospital of Zhejiang  
吴玲光 WU Ling-guang 浙江医院,浙江杭州310013 Hospital of Zhejiang  
期刊信息:《中国骨伤》2004年,第17卷,第1期,第1-2页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
基金项目:浙江省中医重点专科建设建设项目(浙卫发[2001]352-2);浙江省中医药青年科研基金(2002Y001)
中文摘要:

目的:观察颈性眩晕患者椎动脉的形态学改变及其对血流速的影响。

方法:对84例颈性眩晕患者168支椎动脉进行TCD检测和3D-CTA检查结果进行比较。

结果:168支椎动脉中有形态学异常改变的126支,异常率为75%。有形态学改变的126支椎动脉,TCD检测有血流速异常的111支,检出率为881%。椎动脉形态改变依次为椎动脉不规则狭窄,椎动脉纤细,骨质增生压迫,椎动脉走行异常,纤维束带牵拉椎动脉移位,骨质畸形压迫,椎动脉闭塞不显示。

结论:与TCD检测结果比较显示,椎动脉不规则狭窄,椎动脉纤细,闭塞不显示,TCD检测以低流速表现为主;骨性因素压迫椎动脉,椎动脉走行异常,其血流速呈双相性表现。
【关键词】眩晕  基底动脉供血不足  经颅多普勒超声检查
 
Morphological changes of the vertebral artery in the cervical vertigo and their influence on blood flow velocity
ABSTRACT  

Objective:To explore the morphological changes of the vertebral artery in the cervical vertigo patient and their influence on blood flow velocity.

Methods:TCD and 3D-CTA were used to examine 168 vertebral arteries of 84 patients whose primary clinical diagnosis was cervical vertigo.

Results:126 arteries were abnormal in 168 vertebral arteries imaging of 3D-CTA.The abnormal rate was 75%.111 arteries had abnormal speed in the blood flow of 168 vertebral arteries examine by TCD.The abnormal rate was 88.1%.The abnormal imaging was showed as irregular stenosis,thinness,compression by hyperosteogeny,abnormally extended courses,displacements caused by traction of fibrous bands,without display due to complete occlusion of the vertebral artery in the 3D-CTA.

Conclusion:TCD showed slow blood flow speed of vertebral artery in the irregular stenosis,developmental thinness,complete occlusion and displayed increase or slow of speed in the compression by hyperosteogeny,abnormally extended courses in the 3D-CTA examine.
KEY WORDS  Vertigo  Basilar artery insufficiency  Doppler transcranial ultrasonography
 
引用本文,请按以下格式著录参考文献:
中文格式:范炳华,吴良浩,张杰,胡军飞,吴玲光.颈性眩晕的椎动脉形态学改变及其对血流速的影响[J].中国骨伤,2004,17(1):1~2
英文格式:FAN Bing-hua,WU Liang-hao,ZHANG Jie,HU Jun-fei,WU Ling-guang.Morphological changes of the vertebral artery in the cervical vertigo and their influence on blood flow velocity[J].zhongguo gu shang / China J Orthop Trauma ,2004,17(1):1~2
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