王彦平;张保朝;闻公灵;刘义锋;汪宁;孙军;茹睿;温昌明;

• 1:南阳市中心医院

摘要(Abstract)：

目的探讨高分辨率磁共振成像(HRMRI)在诊断椎动脉夹层(VAD)中的临床特征,以及不同影像方法对VAD诊断的差异。方法回顾分析2014-03—2019-11南阳市中心医院14例经HRMRI诊断的VAD患者,观察VAD在HRMRI中的临床特征,分析彩色多普勒超声(CDU)、经颅多普勒超声(TCD)、CT血管造影术(CTA)等不同影像方法诊断VAD的差异。结果 14例患者中HRMRI发现16支VAD,影像表现为壁内血肿、双腔征、内膜瓣;颅外段VAD 8例,经CDU诊断7例,阳性率85.70%,表现为双腔型、壁内血肿型、瘤样扩张;颅内段VAD 6例,TCD检查表现为血流频谱呈高阻型改变;CTA诊断4例,阳性率28.57%,表现为双腔症、内膜瓣、血管腔呈偏心性狭窄或闭塞、动脉瘤。结论 HRMRI诊断VAD清晰易辨,对血管壁及壁内成分可清晰显示,已成为诊断VAD的重要手段。CDU可作为颅外段VAD首选的筛查手段;对TCD、CTA检查发现性质难定的血管异常患者,选择HRMRI检查,可提高VAD的诊断率。

关键词(KeyWords)： 椎动脉夹层;高分辨率磁共振成像;彩色多普勒超声;经颅多普勒超声;CT血管造影术

Abstract:

Keywords:

基金项目(Foundation): 河南省2019年科技发展计划项目(编号:192102310349)

作者(Authors): 王彦平;张保朝;闻公灵;刘义锋;汪宁;孙军;茹睿;温昌明;

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