颅外段椎动脉粥样硬化斑块彩色多普勒超声特征回顾性分析

A retrospective analysis of the color Doppler ultrasonic features of extracranial vertebral atherosclerotic plaques

目的对颅外段椎动脉粥样硬化斑块的彩色多普勒超声特征进行分析。方法收集了2010年10月至2018年6月在我院进行颈部血管超声检查的资料,检索出椎动脉斑块患者,对其超声图像进行回顾性分析。结果共检及187例患者椎动脉粥样硬化斑块患者,占90 808例全部受检者的0.21%,187例患者共计有207个斑块,椎动脉的椎间隙和颈段都可以出现斑块,各占9.7%及90.3%,斑块可单独一侧或双侧同时发生,可单发或多发,斑块回声多样,斑块形态可规则或不规则,斑块可伴有盗血、狭窄及颈动脉斑块等征象。结论常规彩色多普勒超声检查椎动脉斑块值得临床应用。

Objective To analyze the color Doppler ultrasonic features of the extracranial vertebral atheroscle- rotic plaques. Methods Collect the patients＇ information from Oct 2010 to June 2018, who accepted the cervical vascular ultrasound examination in our hospital. Then distinguish the character of the ultrasound images of the plaques in the extracranial vertebral artery. Results One hundred and eighty-seven patients had plaques in the ex- tracranial vertebral artery, which accounted for 0.21% in those who had been inspects. There were 207 plaques which happened in the 187 patients. The plaques took place both in the parts of the cervical and in the intervertebral space,accounted for 9.7% and 90.3%. They could be alone or crinosity. The plaques also showed different kinds of e- cho features of the hypersound. They were followed by some simultaneous phenomenon, such as stenosis, vertebral artery steal syndrome and the carotid plaque. Conclusion Color Doppler flow image should be applied to clinical practice to observe the extracranial vertebral atherosclerotic plaques.