飞行学员椎动脉二维及彩色多普勒超声检测分析

发布时间：2018-05-06 05:18

本文选题：椎动脉 + 超声检查　；参考：《解放军医学杂志》2012年04期

【摘要】：目的了解2010年度招收的飞行学员椎动脉发育情况,为椎动脉超声检查列入招飞体检提供依据。方法利用二维及彩色多普勒超声回顾性分析722名飞行学员的椎动脉起始位置、内径、走行及血流动力学变化等,总结飞行学员中椎动脉先天发育异常的比例。结果 722名飞行学员左侧椎动脉起始段(D1)与椎动脉椎间段(D2)内径(分别为3.624±0.017、3.623±0.018mm)宽于右侧(分别为3.489±0.018、3.438±0.019mm,P0.05),左侧椎动脉椎间段收缩期峰值流速(53.547±0.412cm/s)高于右侧(48.463±0.405cm/s,P0.05)。椎动脉直径在2.5～3.0mm的比例较大,为17.5%,而小于2.5mm比例稍低,为6.9%;右侧椎动脉窄细者(16.0%,116/722)多于左侧(8.3%,60/722),差异有统计学意义(P0.05)。双侧椎动脉走行异常者24例(占3.3%),其中双侧椎动脉起始位置正常,仅走行异常者19例,起始部伴走行异常者5例。19例仅走行异常者左右侧之间无明显差异(P0.05),5例起始部伴走行异常者中2例伴有同侧椎动脉窄细。结论飞行学员中存在多种椎动脉先天发育异常,应早日将椎动脉的超声检查列入招飞体检项目中。
[Abstract]:Objective to investigate the development of vertebral artery in flight cadets in 2010 and to provide evidence for the examination of vertebral artery by ultrasonic examination. Methods the starting position, internal diameter, walking and hemodynamic changes of vertebral artery in 722 flying cadets were analyzed retrospectively by using two-dimensional and color Doppler ultrasound, and the proportion of congenital abnormal development of vertebral artery in flight cadets was summarized. Results the internal diameters of the left vertebral artery initial segment (D1) and the vertebral artery intervertebral segment (D 2) (3.624 卤0.017 卤3.623 卤0.018 mm) were wider than that of the right side (3.489 卤0.018 卤3.438 卤0.019 mm P0.05, respectively), and the peak systolic velocity of the left vertebral artery was 53.547 卤0.412 cm / s, which was higher than that of the right side (48.463 卤0.405 cm 路s0.05%). The ratio of vertebral artery diameter in 2.5~3.0mm was 17.5m, but smaller than that in 2.5mm (6.9%), and the right vertebral artery was narrower (16.0116R / 722) than that in left side (8.3C / 722). The difference was statistically significant (P 0.05). 24 cases (3.3%) of bilateral vertebral artery were abnormal, in which bilateral vertebral artery had normal initial position and 19 cases only had abnormal walking. There was no significant difference between the left and the right side of the patients with abnormal starting part. There was no significant difference between the left and the right side of the patients. 2 of the 5 cases with abnormal starting part accompanied by abnormal walking were accompanied with narrow ipsilateral vertebral artery. Conclusion there are many congenital dysplasia of vertebral artery in flight cadets, so the ultrasonic examination of vertebral artery should be included in the medical examination.
【作者单位】：空军总医院体检队;空军总医院超声科;空军总医院泌尿外科;空军航空航天大学门诊部;空军后勤部卫生部机关;
【基金】：全军“十二五”重大专项课题(akj11j003)~~
【分类号】：R85

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