后循环缺血病变中经颅多普勒与颈动脉超声联合应用的价值分析

The value analysis of the combined application of transcranial doppler and carotid artery in the posterior circulation ischemic lesion

目的分析后循环缺血病变中经颅多普勒(TCD)结合颈动脉超声的应用价值。方法选择本院2015年2月至2016年10月接收的后循环缺血患者109例,其中,短暂性脑缺血(TIA)发作62例,作为A组,脑梗死47例,作为B组,均给予TCD联合颈动脉超声检查,观察检查结果。结果 A组易损斑块占比、颅内病变占比、颅内狭窄占比均低于B组,差异有统计学意义(P<0.05)。结论后循环缺血病变应用TCD联合颈动脉超声诊断时,具有良好的诊断效果。

Objective To analyze the value of transcranial doppler（TCD） in the posterior circulation ischemic lesion combined with carotid artery ultrasound. Methods In our hospital from February 2015 to October 2016 to receive the 109 patients with posterior circulation ischemia, among them, 62 cases of transient ischemic attack, marked as A group, cerebral infarction 47 cases, marked as group B, all give TCD combined carotid ultrasound examination,examination results. Results The proportion of vulnerable plaques in group A, the proportion of intracranial lesions and intracranial stenosis were lower than those in group B, and the difference was significant（P〈0.05）. Conclusion the diagnosis of posterior circulation ischemic lesion using TCD combined with carotid artery ultrasonography has a good diagnostic effect.