超声造影在头颈部血管疾病中的应用及进展

被引：22

作者：

李晨

何文

机构：

[1] 首都医科大学附属北京天坛医院超声科

来源：

首都医科大学学报 | 2014年 / 35卷 / 02期

关键词：

超声造影; 颈动脉粥样硬化; 斑块; 新生血管; 颅内动脉瘤; 颅内动静脉畸形;

D O I：

暂无

中图分类号：

R445.1 [超声波诊断];

学科分类号：

100231 [临床病理学];

摘要：

头颈部动脉粥样硬化发病率逐年升高,严重影响患者的生活质量。目前,头颈部动脉检查方法主要有数字减影血管造影(digital subtraction angiography,DSA)、CT血管成像(CT angiography,CTA)及磁共振血管造影(magnetic resonance angiography,MRA),DSA是诊断颅外段血管狭窄情况的金标准,可以观察斑块表面的光滑程度以及溃疡斑块的形成。高分辨磁共振成像可以判断斑块内不同成分,评估斑块易损性。但上述方法均无法动态观察斑块内新生血管及外膜滋养血管,而超声造影(contrastenhanced ultrasound,CEUS)能够清晰显影颈动脉斑块内新生血管,评估颈动脉斑块的易损性。同样,DSA也是诊断颅内血管性疾病的金标准,但因其有创性,检查具有一定的风险,造影剂过敏反应时有发生,而经颅超声造影(contrast enhanced transcranial color-coded sonography,CE-TCCS)可以显示颅内血管、血流速度及方向,弥补DSA的不足。本文就CEUS在头颈部血管性疾病中的应用及进展进行综述。

引用

页码：145 / 149

页数：5

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