摘要
目的应用经颅超声(TCCS)及经颅超声造影(CE-TCCS)观察亚急性基底节区出血患者的超声表现,探讨CE-TCCS对基底节区脑出血的临床诊断价值。方法选取基底节区出血患者82例,58例(70.7%)血肿可见。选取双侧TCCS经颞窗清晰显示基底节区者46例,CE-TCCS观察水肿带、水肿带边缘及周边脑实质组织的脑灌注情况。结果双侧TCCS显示率为79.3%;58例中有30例脑室受压,14例血肿破入脑室,8例中线移位,10例未见并发症改变;CE-TCCS显示血肿周围水肿区域的脑灌注均降低,但降低程度不等,水肿带、水肿带边缘至周边脑组织的脑灌注呈阶梯状减轻。结论CE-TCCS有望能为临床脑出血的诊断及疗效监测提供一种新方法。
Objective To observe the ultrasonographic findings of patients with basal ganglia hemorrhage by transcranial color-code sonography (TCCS) and contrast-enhanced transcranial color-code sonography (CE-TCCS), and to evaluate the clinical value of TCCS and CE-TCCS in assessing the cerebral perfusion with basal ganglia hemorrhage. Methods Eighty-two patients with basal ganglia hemorrhage were selected, and hematoma was seen in 58 patients (70.7%). Forty-six cases of bilateral TCCS with clear display of basal ganglia through temporal window were selected. CE-TCCS was used to observe cerebral perfusion of edema zone, edema zone edge and peripheral brain parenchyma. Results The bilateral rate displayed by TCCS was 79.3%. Among 58 cases, 30 cases had ventricular compression, 14 cases had hematoma rupture into ventricle, 8 cases had midline displacement, and 10 cases had no complication change. The cerebral perfusion in edema areas around hematoma was reduced by CE-TCCS, but the degree of reduction was different. There were reduced in a step-like manner in the cerebral perfusion from edema zone and edema zone edge to peripheral brain tissue. Conclusions CE-TCCS is a new method for clinical diagnosis and monitoring the progress of treatments of cerebral hematoma.
作者
于腾飞
何文
赵阳
金占强
宁彬
阚艳敏
广旸
Yu Tengfei;He Wen;Zhao gang;Jin Zhanqiang;Ning Bin;Kan Yanmin;Guang Yang(Department of Ultrasonography,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China;Department of Ultrasonography,PLA General Hospital,Beijing 100853,China)
出处
《中华超声影像学杂志》
CSCD
北大核心
2019年第2期99-102,共4页
Chinese Journal of Ultrasonography
基金
北京博士后工作经费资助(2017-zz-124)
中国博士后科学基金资助(2018M631527).
关键词
超声检查
多普勒
经颅
超声造影
经颅
脑出血
Ultrasonography, Doppler, transcranial
Contrast-enhanced ultrasound, transcranial
Cerebral hemorrhage
