彩超与TCD对颈椎病VBA系统供血的对比研究

A COMPARATIVE STUDY OF VERTEBRAL BASILAR BLOOD SUPPLY OF THE PATIENTS OF CERVICAL SPONDYLOSIS BETWEEN VERTEBRAL ARTERY TYPE AND OTHER TYPES USING COMBINING COLOUR DOPPLER F1OW IMAGING AND TRANSCRANIAL DOPPLER

目的比较分析用经颅多普勒(TCD)与彩超对椎动脉型颈椎病与其他颈椎病VBA系统供血情况测定的差异。方法应用彩超和TCD检查28例椎动脉型颈椎病与26例其他类型颈椎病患者的椎-基底动脉(VBA)系统二维结构及血流动力学指标。结果椎动脉型颈椎病患者的VBA系统TCD与彩超异常率分别为64.3%,53.6%;其他类型颈椎病患者的VBA系统TCD与彩超异常率分别为26.9%,19.2%,差异显著,p<0.01。结论彩超与TCD联合检查颈椎病患者的VBA系统,证实了椎动脉型颈椎病患者VBA系统血液循环障碍客观存在,揭示了椎动脉型颈椎病临床表现的病理基础。

Objective To compare the vertebral basilar blood supply and dynamics of the patients of cervical spondylosis of vertebral artery type and other types spondylosis using combining color doppler flow imaging and transcranial doppler. Methods 28 patients with cervical spondylosis of vertebral artery type and 26 other types spondylosis were performed color Doppler flow imaging and transcranial color doppler. The two - dimensional and hemodynam- ic parameters of vertebral basilar were recorded and analyzed. Results The positive ratio of TCD and CDFI of cervical spondylosis of vertebral artery type were 64. 3% ,53.6% respectively, in the other types were26. 9%, 19. 2%, their differences were very markedly （p 〈 0. 01 ）. Conclusion It is proved that the vertebral basilar blood supply and dynamics of the patients of cervical spondylosis in vertebral artery type is impediment and insufficient by combining color Doppler flow imaging and Transcranial color Doppler, offering pathological basis of clinical phenomena of the patients of cervical spondylosis of vertebral artery type.