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·头颈疾病·

经颅多普勒超声在颈椎病诊断中的应用价值

作者:黄 伟 阮利江

所属单位:深圳市宝安区中心医院超声科 (广东 深圳 518102)

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摘要

目的 探讨经颅多普勒超声(TCD)对于颈椎病的诊断价值。方法 收集2013年1月至2014年1月期间,我院收治的颈椎 病患者42例作为观察组,同期健康体检者42例作为对照组,均采用TCD进行检查,统计分析两组的椎-基底动脉舒张 期末峰值血流速度(Vd)、收缩期峰值血流速度(Vp)和双侧差值。结果 观察组中有31例血流速度减慢,11例血流速 度增快。31例血流速度减慢患者的Vp和Vd与对照组比较差异显著(P<0.05),11例血流速度增高患者的Vp与对照组比 较差异显著(P<0.05),而Vd无明显差异(P>0.05)。结论 经颅多普勒超声对于颈椎病的诊断具有重要价值。

Objective To investigate the diagnostic value of transcranial doppler ultrasound(TCD) for cervical disease. Methods 42 cases of patients with cervical spondylosis in our hospital between January 2013 and January 2014 were collected as the observation group, 42 cases of healthy volunteers in the same period were collected as the control group, all underwent TCD examination, the vertebral-basilar artery diastolic peak flow velocity (Vd), peak systolic velocity (Vp) and bilateral difference of the two groups were counted and analyzed. Results There were 31 cases of patients with blood flow velocity slows in observation group,11 cases of blood flow to speed. Vp and Vd slowed compared with control group of 31 cases of differences in patient blood flow velocity was significantly (P<0.05), the Vp of 11 cases with elevated blood flow velocity and the control group were significantly different (P<0.05), Vd was no significant difference (P>0.05). Conclusions TCD for the diagnosis of cervical disease has an important value.

【关键词】颈椎病;经颅多普勒;椎动脉

【中图分类号】R826.62

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2015.03.004

前言

颈椎病又可称为颈椎综合征,包括颈椎间盘脱 出症、颈神经根综合征、增生性颈椎炎以及颈椎骨 关节炎等,是临床常见病与多发病。患者常表现为 颈背疼痛、四肢无力、恶心、呕吐等症状,严重影响 患者的日常生活质量,早期积极诊断与治疗非常必要 [1]。目前,临床对于颈椎病的诊断多依靠临床症状以 及影像学检查。近年来,随着临床对颈椎病发病机制 研究的深入以及影像学检查技术的发展,颈椎病的 诊断率获得了显著提高[2]。本研究应用经颅多普勒超 声(Transcranial doppler ultrasound,TCD)进行检 查,并进行系统分析研究,旨在探讨TCD对于颈椎病 的临床诊断价值,现报道如下。