超声在老年人颈性眩晕临床诊断中的价值

发布时间：2018-05-31 18:17

本文选题：超声 + 颈性眩晕　；参考：《中国老年学杂志》2015年10期

【摘要】：目的探讨彩色超声多普勒检查在诊断老年人颈性眩晕中的临床应用价值。方法选取来该院就诊的老年颈性眩晕患者72例为观察组,同时随机选取同期在我院体检的健康老年受试者72例为对照组。采用彩色超声多普勒检查评估两组受试者的椎动脉,统计观察组患者椎动脉异常的情况,对比两组受试者椎动脉内径以及血流的参数。结果观察组72例患者中,64例(88.89%)发现血管存在狭窄,其中椎动脉发现狭窄最常见,占56.94%(41例),小脑前下动脉和小脑后上动脉狭窄分别占19.44%(14例)和12.50%(9例)。观察组的左侧椎动脉内径为(3.28±0.31)mm,右侧椎动脉内径为(3.18±0.15)mm,左侧峰值流速为(39.62±4.85)cm/s,右侧峰值流速为(39.13±5.42)cm/s,左侧血流量为(131.63±17.95)ml/min,右侧血流量为(116.12±17.83)ml/min,总血流量为(245.73±17.36)ml/min,均显著低于对照组(均P0.05)。结论超声检查是一种无创的评价椎动脉病变和血流动力学改变的检查手段,可以为老年颈性眩晕的诊断提供重要的参考信息。
[Abstract]:Objective to evaluate the clinical value of color Doppler ultrasonography in the diagnosis of cervical vertigo in the elderly. Methods Seventy-two elderly patients with cervical vertigo were selected as observation group and 72 healthy elderly subjects as control group. The vertebral arteries of the two groups were evaluated by color Doppler ultrasound. The abnormal condition of the vertebral arteries in the observation group was statistically analyzed and the internal diameter and blood flow parameters of the vertebral arteries were compared between the two groups. Results in the observation group, 64 cases (88.89) were found to have stenosis, among which the stenosis of vertebral artery was the most common, accounting for 56.94 cases, and the stenosis of anterior inferior cerebellar artery and posterior superior cerebellar artery were 19.4444% and 12.50%, respectively. In the observation group, the internal diameter of left vertebral artery was 3.28 卤0.31 mm, the diameter of right vertebral artery was 3.18 卤0.15 mm, the left peak velocity was 39.62 卤4.85 cm / s, the right peak velocity was 39.13 卤5.42 cm / s, the left blood flow was 131.63 卤17.95 ml / min, the right side was 116.12 卤17.83 ml / min, the total blood flow was 245.73 卤17.36 ml / min, which was significantly lower than that in the control group (P 0.05). Conclusion Ultrasonography is a noninvasive method for evaluating vertebral artery lesions and hemodynamic changes, which can provide important information for the diagnosis of cervical vertigo in the elderly.
【作者单位】：中国航空工业集团公司洛阳电光设备研究所职工医院普内科;新乡医学院第三附属医院检验科;
【分类号】：R681.55;R445.1

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