|本期目录/Table of Contents|

[1]曲国田,兰 英,陈晓慧,等.颅外段椎动脉峰值血流参数离散度对颈椎病的超声诊断价值[J].医学研究与战创伤救治(原医学研究生学报),2014,16(01):31-33.
　QU Guo-tian,LAN Ying,CHEN Xiao-hui,et al.Diagnostic value of dispersion of peak systolic velocity of extracranial vertebral artery for cervical spondylosis by ultrasonography[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2014,16(01):31-33.
点击复制

颅外段椎动脉峰值血流参数离散度对颈椎病的超声诊断价值()
分享到62.8K

《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第16卷
期数:
2014年01期
页码:
31-33
栏目:
出版日期:
2014-02-20

文章信息/Info

Title:
Diagnostic value of dispersion of peak systolic velocity of extracranial vertebral artery for cervical spondylosis by ultrasonography
作者:
曲国田; 兰 英; 陈晓慧; 程祥勇; 何 燕; 谢芳玲
322000江西九江，南京军区庐山疗养院特诊科
Author(s):
QU Guo-tian; LAN Ying; CHEN Xiao-hui; CHENG Xiang-yong; HE Yan; XIE Fang-ling.
Department of Ultrasound,Lushan Sanatorium of Nanjing Military Command,Jiujiang，Jiangxi 332000，China
关键词:
超声描记术; 椎动脉; 受试者工作曲线
Keywords:
ultrasonography;  vertebral artery;  receiver operating characteristic curve
分类号:
R445.14
DOI:
-
文献标志码:
A
摘要:
目的 探讨超声观察颅外段椎动脉峰值血流参数离散度对颈椎病的超声诊断价值。方法 观察比较44例颈椎病共88条椎动脉和33例健康人共66条椎动脉之间收缩期峰值血流速度(PSV)、舒张末期血流速度(EDV)、阻力指数(RI)、收缩期与舒张末期流速比(S/D),峰值流速离散度(PVD)。应用受试者工作特径(ROC)曲线选取临界值。结果 两组间PSV、S/D、PVD差异显著(P＜0.01)。以PVD 7.85为诊断值，敏感性为83.7%，特异性72.9%。若以PVD值为10.2为诊断值，则敏感性为55.8%，特异性为100%。以S/D值2.5为诊断值，敏感性为83.7%，特异性62.5%。结论 应用ROC曲线确定的PVD值与S/D值将有助于颈椎疾病的诊断与鉴别诊断。
Abstract:
Objective To assesse the ultrasonic value of dispersion (PVD) of peak systolic velocity of extracranial vertebral artery in diagnosis of cervical spondylosis.Methods A total of 88 vertebral arteries in 44 patients with cervical spondylosis and 66 vertebral arteries in 33 health volunteers were evaluated by color Doppler.The inner diameter,peak systolic velocity (PSV),end diastolic velocity (EDV),resistant index (RI),peak systolic velocity dispersion (PVD),Ratio (S/D) of peak systolic velocity (PSV) between end diastolic velocity (EDV) of extracranial vertebral arteries were measured.The cutoff value of PVD and S/D was analyzed by ROC curve.Results The difference of PSV,S/D and PVD was significant between two groups.The sensitivity was 83.7% and specificity was 72.9% when the cutoff value of PVD was 7.85 in diagnosis of cervical spondylosis.The sensitivity was 55.8% and specificity was 100% when PVD was 10.2.The sensitivity was 83.7% and specificity was 62.5% when the cutoff value of S/D was 2.5.Conclusion The different cutoff value of PVD is helpful in diagnosing or screening of cervical spondylosis.

参考文献/References:

[1] 王少伟,于丽丽.彩色多普勒对颈椎疾病影响椎动脉超声诊断价值的研究[Ｊ].医药前沿,2012,2(13):72-73.
[2] 周瑛华,华 扬,凌 晨,等.血管超声对椎动脉闭塞的血流动力学评价[Ｊ].国际脑血管病杂志,2009,17(8):568-572.
[3] 陈 晶,朱 娜,李小茜,等.彩色多普勒超声对椎动脉型颈椎病结构血液动力学分析[Ｊ].中国临床医学影像杂志,2012,23(11):807-809.
[4] 李增春，陈德玉，吴德升，等.第三届全国颈椎病专题座谈会纪要[Ｊ].中华外科杂志,2008,46(23):1796-1799.
[5] 余 浩,张祖燕,李 赛,等.临床各型颈椎病影像诊断对照研究[Ｊ].徐州医学院学报,2011,31(12):846-848.
[6] Rock EH.Vasscular dizziness and transcranial Doppler ultrosonography[Ｊ].Ann Otol Rhinol Largngol,1989,141(Supple 1):1-4.
[7] 张宗美,赵 岭,王义亮.692例椎动脉型颈椎病的高频彩色多普勒超声声像图的特征分析[Ｊ].重庆医学,2011,40(16):1605-1606.
[8] 曲国田,陈晓慧,程祥勇,等.颅外段椎动脉扭曲的三维透明成像特征及诊断价值[Ｊ].中国超声诊断杂志,2006,7(1):4-6.
[9] 戈晓华,邹艳秋,赵 红.老年颈椎病伴眩晕患者的椎动脉超声多普勒检测分析[Ｊ].中国医学影像技术,1998,1(1):38-42.
[1０] 苏清伦,秦入结,于 明,等.彩色多普勒超声对颈椎不稳椎动脉血流参数的评估价值[Ｊ].中国组织工程研究与临床康复,2008,12(30):5976-5978.
[1１] 刘 凯,谢 青,毕 霞.颈椎机械牵引技术的作用及机制研究[Ｊ].中国组织工程研究与临床康复,2010,14(28):5272-5275.
[1２] 刘淑萍,李文秀,孙 斌，等.彩超检查椎动脉在适龄入伍男性人群中的应用[Ｊ].中国超声医学杂志,2012,28(1):47-50.
[1３] 全香爱，赵树军，于 涛，等.椎动脉型颈椎病与颈椎生理曲度的相关性分析[Ｊ].吉林中医药,2011,31(5):430-431.
[14] 王春红,宋光义,高兴军,等,椎基底动脉供血不足与交感神经关系的MSCT评价[Ｊ].中国实用医刊,2011,38(15):1-3.

相似文献/References:

备注/Memo

备注/Memo:
-
更新日期/Last Update: 2014-01-20