| 椎基底动脉三维CT血管造影对颈性眩晕椎动脉寰枕段形态学改变的观察 |
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Received:May 23, 2014
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| 作者 | Author | 单位 | Unit | E-Mail |
| 范炳华 |
FAN Bing-hua |
浙江中医药大学附属第三医院, 浙江 杭州 310005 |
The Third Affiliated Hospital of Zhejiang Chinese Medicine University, Hangzhou 310005, Zhejiang, China |
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| 许丽 |
XU Li |
浙江中医药大学附属第三医院, 浙江 杭州 310005 |
The Third Affiliated Hospital of Zhejiang Chinese Medicine University, Hangzhou 310005, Zhejiang, China |
xuli725@163.com |
| 林敏 |
LIN Min |
浙江中医药大学附属第三医院, 浙江 杭州 310005 |
The Third Affiliated Hospital of Zhejiang Chinese Medicine University, Hangzhou 310005, Zhejiang, China |
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| 李伟 |
LI Wei |
浙江医院, 浙江 杭州 310013 |
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| 汪芳俊 |
WANG Fang-jun |
浙江省中西医结合医院, 浙江 杭州 310003 |
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| 徐泉珍 |
XU Quan-zhen |
浙江中医药大学附属第三医院, 浙江 杭州 310005 |
The Third Affiliated Hospital of Zhejiang Chinese Medicine University, Hangzhou 310005, Zhejiang, China |
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| 期刊信息：《中国骨伤》2015年28卷，第1期，第39-42页 |
| DOI：10.3969/j.issn.1003-0034.2015.01.010 |
| 基金项目:国家临床重点专科建设项目(国卫医发2013-42号);浙江省名老中医专家传承工作室(编号:GZS2012017);国家中医药管理局中医药科技专项课题(编号:06-07LP21);浙江省中医药管理局重点项目(编号:2008ZA007) |
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目的: 探索颈性眩晕的椎动脉寰枕段(V3段)血管形态病理学改变.
方法: 1999年6月至2011年11月,采用椎-基底动脉CT血管造影三维重建技术(3D-CTA)对1 680例颈性眩晕患者的血管形态影像进行回顾性分析,观察其椎动脉V3段血管形态病理学改变情况.其中男783例,女897例;年龄22～70岁,平均52.8岁,所有病例经多普勒检查显示椎基底动脉流速加快或减慢.
结果: 1 680例颈性眩晕患者在V1-V4段有3 360支血管被检测,血管异常支数有2 778支,其中V1段有829支,V2段有421支,V3段有328支,V4段有1 190支.颈性眩晕患者椎动脉V3段血管形态病理学有椎动脉血管痉挛(232支)、椎动脉血管缺如(37支)、椎动脉血管出孔异常(31支)、椎动脉血管局限性狭窄4种改变.
结论: 颈性眩晕的椎动脉V3段存在4种血管形态病理学改变,可以以3D-CTA检查结果来判断预后并采取适当的治疗方法. |
| [关键词]:颈性眩晕 椎动脉寰枕段 血管形态 病理改变 |
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| Pathomorphological change of the atlanto occipital segment of vertebral artery related with cervical vertigo |
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Abstract:
Objective: To explore the pathomorphological change of the atlanto occipital segment of vertebral artery(V3 part) related with cervical vertigo.
Methods: From June 1999 to November 2011,the pathomorphological change of the atlanto occipital segment of vertebral artery were observed in 1 680 patients with cervical vertigo using 3D-CTA technology. The clinical data of these patients were analyzed. There were 783 males and 897 females,aged from 22 to 70 years old with an average of 52.8 years old. Doppler examination showed vertebral basilar artery flow velocity to speed up or slow down.
Results: The blood vessel of 3 360 branches were detected in 1 680 patients and 2 778 branches were detected out vascular anomaly. And 829 branches were in V1 segment,421 were in V2,328 were in V3,1 190 were in V4. The pathomorphological changes in the atlanto occipital segment(V3) of vertebral artery included angiospasm,congenital absence,abnormal exit,localized stenosis.
Conclusion: There are 4 kinds of pathomorphological changes in the atlanto occipital segment of vertebral artery related with cervical vertigo. The 3D-CTA result can be used to judge prognosis and adopt reasonable treatment for the patients. |
| KEYWORDS:Cervical vertigo The atlanto occipital segment of vertebral artery Morphous of blood vessels Pathomorphological change |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 范炳华,许丽,林敏,李伟,汪芳俊,徐泉珍.椎基底动脉三维CT血管造影对颈性眩晕椎动脉寰枕段形态学改变的观察[J].中国骨伤,2015,28(1):39~42 |
| 英文格式: | FAN Bing-hua,XU Li,LIN Min,LI Wei,WANG Fang-jun,XU Quan-zhen.Pathomorphological change of the atlanto occipital segment of vertebral artery related with cervical vertigo[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(1):39~42 |
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