摘要：目的 探讨彩色多普勒超声对脑梗死患者颅外段颈动脉及椎动脉超声检查的临床价值.方法 对91例脑梗死住院患者行颅外段颈动脉、椎动脉彩色多普勒检查,观察其动脉壁的形态病变性质和动脉管腔的内径及椎动脉的最大流速(PSV)、阻力指数(RI).结果 91例脑梗死患者中,内径超过正常范围的颈总动脉最多,其中左侧17例,右侧22例.斑块生长部位以颈总动脉多见,类型以扁平斑最多,其次为硬斑.椎动脉PSV减低多见,其中左侧52例,右侧57例;RI超出正常范围的,左侧22例,右侧36例.结论 脑梗死患者颅外段颈动脉及椎动脉的彩色多普勒超声常规检查,提供了形态学及血流动力学改变,为临床诊断及治疗提供了重要的信息. Abstract： Objective To evaluate the clinical value of the color Doppler ultrasound for cerebral infarction in patients with extracranial carotid artery and vertebral artery. Methods Ninty-one cases of cerebral infarction patients in the hospital were examined of extracranial internal carotid artery, vertebral artery by color Doppler ultrasound. The pathological change patterns of arterial wall and the inner diameter of the arterial lumens and the peak flow rate (PSV), resistent index (RI)of the vertebral artery were observed.Results In the 91 cases of cerebral infarction patients, the inner diameter of carotid artery beyond the normal range, there were 17 cases in the left, 22 cases in the right.The most plaqueslie in carotid artery.The type of plaques was flat applanation spot at most, following was hard spot.Vertebral artery's peak flow rate was usually reduce, 52 cases in left, 57 cases in right. 22 patients' resistent index beyond the normal range in the left, and 36 cases in right.Conclusions The color Doppler ultrasound to extracranial carotid artery and vertebral artery provides the morphology and hemodynamics's change, offers important messages for the clinical diagnosis and treatment in the cerebral infarction.

关键词：脑梗死 住院患者 颅外段颈动脉 椎动脉 彩色多普勒超声 

单位：江苏省镇江市第三人民医院超声科 212000 U