彩色多普勒超声对青少年椎动脉型颈椎病的诊断价值

Diagnostic Value of Color Doppler Ultrasound in the Diagnosis of Vertebral Artery Type Cervical Spondylosis of Adolescent

目的:探讨彩色多普勒超声对青少年椎动脉型颈椎病的诊断价值。方法:选择我院2012年2月-2016年1月收治的80例青少年椎动脉型颈椎病患者作为研究组,选择同期100例门诊体检同龄健康者作为对照组,使用Acuson Sequoia 512以及HDI5000彩色多普勒超声仪进行检查,观察两组椎动脉和颈外动脉血流指标,记录椎间段血流参数:包括舒张末流速(EVD)、收缩期峰值流速(PSV)、血流量(Q)和阻力指数(RI)。结果:实验组椎动脉内径、EDV、PSV和血流量(Q)比对照组低(P<0.05),实验组阻力指数(RI)比对照组高(P<0.05)。结论:彩色多普勒超声对青少年椎动脉型颈椎病患者的血流相关指数检查对该病的诊断具有明显作用,适合在临床上推广应用。

Objective： To investigate the value of color Doppler ultrasound on the diagnosis of vertebral artery type of cervical spondylosis in adolescents. Methods： 80 cases with adolescent vertebral artery type of cervical spondylosis patients （CSA） who were treated in our hospital from February 2012 to January 2016 were selected as the experimental group, and another 100 healthy cases who had taken the physical examination at the same time were chosen to be the control group. Then the vertebral artery and external carotid artery blood flow index of the two groups were observed with the help of ACUSON Sequoia 512 and hdi5000 color Doppler ultrasound examination and record the intervertebral segment blood flow parameters： including diastolic velocity （EVD）, peak systolic velocity （PSV）, blood flow （q） and resistance index （RI）. Results： The vertebral artery diameter, EDV, PSV and blood flow rate （Q） in the experimental group were lower than those in the control group （P 〈 0.05）, and the resistance index （RI） of the experimental group was higher than that of the control group （P〈0.05）. Conclusions： Color Doppler ultrasound in the diagnosis of vertebral artery type of cervical spondylosis of vertebral artery in patients with the diagnosis of the disease has obvious effect, suitable for clinical application.