超声检查在椎动脉狭窄性病变诊断中的作用

Role of ultrasonography in diagnosis of vertebral artery stenosis

目的探讨超声检查技术在诊断椎动脉狭窄性病变各种因素中的作用及优势。方法选择以发作性、可逆性的眩晕、头痛为主诉入院的60例患者120条椎动脉经超声检查后获得的客观信息，进行汇总归纳，分析其内在关系。结果研究对象中椎动脉狭窄者占38．2％，椎动脉走行弯曲度改变者占33．3％，先天发育异常者占9．8％，混合病因者占18．6％，主要病因是椎动脉硬化和椎动脉弯曲度改变。结论超声检查技术在椎动脉狭窄性病变的诊断中具有重要的临床应用价值，可以帮助扩展临床诊断思维。

Objective To discuss the function and advantages of ultrasound technology in various factors in the diagnosis of vertebral artery stenosis lesions. Methods The objective data of uhrasonography were selected in 60 patients （ 120 vertebral arteries） with paroxysmal, reversible vertigo and headache as the chief complaint, the internal relations were summarized and analyzed. Results In the subjects of study,the vertebral artery stenosis for 38.2% ,vertebral artery course tortuosity changer accounted for 33.3% ,congenital abnormal development accounted for 9.8% ,mixed cause 18.6% ,dominant etiology was vertebral artery sclerosis and vertebral artery tortuosity change. Conclusion Ultrasound technology has important value of clinical application in the reasons diagnosis of vertebral artery stenosis disease,it can help extend clinical diagnosis.