微血管多普勒超声在颅内动脉瘤术中应用的研究(附20例分析)
摘要
目的探讨微血管多普勒超声在颅内动脉瘤夹闭术中的应用价值和意义。方法2009年1~4月我科收治颅内动脉瘤患者20例,在夹闭动脉瘤前后应用微血管多普勒超声(MDU)对动脉瘤、载瘤动脉和邻近血管进行常规检查。结果5例(25%)患者在颅内动脉瘤夹闭术中应用MDU发现血流异常,调整动脉瘤夹后血流正常。15例术中MDU监测显示血流信号正常,与术后数字减影血管造影术等检查结果存在一致性。18例(90%)患者术后恢复良好。结论颅内动脉瘤术中常规应用MDU有助于减少动脉瘤并发症的发生,提高手术夹闭质量。
出处
《福建医药杂志》
CAS
2009年第5期97-99,共3页
Fujian Medical Journal
参考文献5
-
1Laborde G, Gilsbach J, Harders A. The microvascular Doppler- an intraoperative tool for the treatment of large and giant aneurysms [J]. Acta Neurochir Suppl (Wien), 1988, 42: 75-80.
-
2Stendel R, Pietila T, A1 Aboetal AA, et al. Intraoperative microvaseular Doppler ultrasonography in cerebral ancurysm surgery [J]. J Neurol Neurosurg Psychiatry, 2000, 68 (1): 29- 35.
-
3佟静,王硕,赵元立,赵继宗.术中微血管多普勒超声检查对颅内动脉瘤治疗的临床意义[J].中华医学杂志,2007,87(13):881-884. 被引量:15
-
4Akdemir H, Oktem IS, Tucer B, et al. Intraoperative microvascular Doppler sonography in aneurysm surgery [J]. Minim InvasiveNeurosurg, 2006, 49 (5): 312-316.
-
5Bailes JE, Tantuwaya LS, Fukushima T, et al. Intraoperative mierovascular Doppler sonography in aneurysm surgery [J]. Neurosurgery, 1997, 40 (5): 965-970.
二级参考文献11
-
1Stendel R, Pietila T, Al Hassan, et al. Intraoperative microvascular Doppler ultra-sonography in cerebral aneurysm surgery. J Neurology Neumsurgery Psychiatry,2000,68:29-35.
-
2Sepideh AH, Guido M, Rodolfo G, et al. The utility of intraoperative blood flow measurement during aneurysm surgery using an ultrasonic perivascular flow probe. J Neurosurg , 2006,58:305-112.
-
3Aaslid R, Markwalder TM, Nomes H. Noninvasive transcranial Doppler ultrasound recording of flow velocity in basal cerebral arteries. J Neurosurg , 1982,57:769-774.
-
4Karhunen PJ. Neurosurgical vascular complications associated with aneurysm clips evaluated by post-mortem angiography. Forensic Sci Int ,1991,51:13-22.
-
5MacDonald RL, Wallace MC, Kestle JRW. Role of angiography following aneurysm surgery. J Neurosurg , 1993,79:826-832.
-
6Martin NA, Bentson J, Vixuela F, et al. Intraoperative digital subtraction angiography and the surgical treatment of intracranial aneurysms and vascular malformations. J Neurosurg, 1990,73:526 -533.
-
7Manninen PH, Patterson S, Lam AM, et al. Evoked potential monitoring during posterior fossa aneurysm surgery: a comparison of two modalities. Can J Anaesth, 1994,41:92-97.
-
8Sanzenbacher, Karl E. Intraoperative Monitoring during Aneurysm Surgery as a Neuroprotective Activity with Reference to Evoked Potential and Microvascular Doppler Techniques. Ann Ny Acad Sci, 2005,1053:28-29.
-
9Wiedemayer H, Sandalcioglu IE, Armbruster, W, et al. False negative findings in intraoperative SEP monitoring: analysis of 658 consecutive neurosurgical cases and review of published reports. J Neurology, Neuresurgery Psychiatry, 2004,75:280-286.
-
10Bailes JE, Tantuwaya LS, Fukushima T, et al. Intraoperative micmvascular Doppler sonography in aneurysm surgery.Neumsurgery , 1997,40:965-970.
共引文献14
-
1王芙昱,许百男,姜燕,孙正辉,姜金利,刘磊.手术中微血管多普勒超声在颅内巨大动脉瘤治疗中的应用[J].中华老年心脑血管病杂志,2008,10(5):350-352. 被引量:4
-
2惠品晶,张世明,王中,刘曼,孔丽娟,李向东,崔岗,周幽心,虞正权,周岱.微血管多普勒超声在颈内动脉瘤手术中的应用[J].中华神经外科杂志,2010,26(10):874-877. 被引量:11
-
3魏坤,张思迅,姚雪燕,薛爽.微血管多普勒超声在颅内动脉瘤夹闭术中的应用[J].中日友好医院学报,2011,25(2):77-79. 被引量:3
-
4费智敏,张珏,书国伟,蔡佩浩,王静予,邱锋,孔令军,许乐宜,龚立,王夏飞,李善泉.体感诱发电位和微血管多普勒超声在颅内动脉瘤夹闭术中的联合应用[J].上海交通大学学报(医学版),2011,31(12):1733-1736. 被引量:2
-
5赵磊,房晓萱.实时超声在神经外科手术中应用[J].中国实用医药,2012,7(1):68-69. 被引量:3
-
6倪伟,陈亮,许耿,宋冬雷,雷宇,顾宇翔.多重术中监护在前交通动脉瘤手术中的应用[J].中国现代神经疾病杂志,2012,12(1):11-15.
-
7张思迅,李放,张黎,袁越,魏坤,田红.微血管多普勒超声在颅内动脉瘤夹闭术中的应用[J].中国微侵袭神经外科杂志,2012,17(11):497-498. 被引量:3
-
8李志立,张冠妮,黄光富,王振宇,谭海斌,刘进平,李爱国.体感诱发电位、多普勒超声和荧光造影在脑动脉瘤术中的应用[J].实用医院临床杂志,2013,10(5):3-6. 被引量:6
-
9倪伟,宋冬雷.颅内动脉瘤载瘤动脉重塑的研究进展[J].中国脑血管病杂志,2014,11(1):39-43. 被引量:1
-
10冷基勇,丛培雨,王心民,王克臻,吕洪柱,崔承志.多普勒血流探测仪在颅内动脉瘤夹闭术中的应用研究[J].中国医师进修杂志,2019,42(2):121-123. 被引量:5
-
1佟静,王硕,赵元立,赵继宗.术中微血管多普勒超声检查对颅内动脉瘤治疗的临床意义[J].中华医学杂志,2007,87(13):881-884. 被引量:15
-
2陈志,冯华,吴南,林江凯,吴国材,陈鹏,王宪荣,朱刚.术中微血管多普勒超声在颅内动脉瘤手术中的初步应用[J].中华外科杂志,2005,43(1):69-70. 被引量:7
-
3茅磊,赵鑫,杭春华,吴伟,纪祥军,王笑亮,王汉东.微血管多普勒超声在颅内动脉瘤手术中的应用[J].中国脑血管病杂志,2016,13(9):460-464. 被引量:8
-
4查莉,黄建国.彩色多普勒血流显像对恶性滋养细胞肿瘤化疗疗效的观察[J].肿瘤防治研究,2004,31(1):55-56.
-
5陈献明,罗晓燕,田志先,文秋平,敬宗玉,涂伟娴,吕小霞,王雪峰.经阴道超声在恶性滋养细胞肿瘤的诊断及治疗中的应用[J].实用医技杂志,2007,14(31):4271-4273. 被引量:1
-
6王欣.彩色多普勒超声诊断乳腺肿块良、恶性的价值[J].中国医学工程,2011,19(12):137-137.
-
7范苏.开颅夹闭颅内动脉瘤术后观察及护理[J].世界最新医学信息文摘,2015,0(64):237-237.
-
8脑血管[J].中国医学文摘(外科学),2007,26(6):521-523.
-
9梁日生,魏永,杨卫忠,房新蓉,石松生,张国良,倪天瑞,陈建屏.神经电生理和微血管多普勒联合监测在颅内动脉瘤术中的应用研究[J].福建医科大学学报,2010,44(1):50-54. 被引量:12
-
10惠品晶,张世明,王中,刘曼,孔丽娟,李向东,崔岗,周幽心,虞正权,周岱.微血管多普勒超声在颈内动脉瘤手术中的应用[J].中华神经外科杂志,2010,26(10):874-877. 被引量:11