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主动脉夹层累及颈动脉的超声图像特点

Bing-yuan ZHOU,Xiang-jun YANG,Jun-hua YANG,Cai-ming ZHAO,Su-dan XU,Hui-feng WANG

Suzhou University Journal of Medical Science（2010）

Cited 23|Views11
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Abstract
目的 评价主动脉夹层累及颈动脉的超声图像特点.方法 采用PILIPS 7500彩色多普勒超声诊断仪,对29例患者经常规心脏超声检查诊断为主动脉夹层后,切换至颈动脉检查模式,观察颈动脉内膜是否累及,夹层撕裂至颈动脉的图像特点、血流状态.结果 29例患者中,夹层累及颈动脉7例,占24.1%,均发生在Standford A型患者.其中4例颈动脉超声清晰显示撕裂飘浮的内膜,真假腔血流状态不同.左颈总动脉或右颈总动脉假腔内血栓形成、真腔狭窄各1例.另1例右颈总动脉近完全闭塞,无血流信号.结论 颈动脉超声能准确评估主动脉夹层患者颈动脉受累情况.
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Key words
aortic dissection,carotid ultrasound
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