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目的探究在椎-基底动脉供血不足的诊断中,经颅多普勒超声与彩色多普勒颈部超声联合应用的价值,并在临床工作中进行推广使用。方法选取进行治疗的椎-基底动脉供血不足患者60例,患者均接受经颅多普勒超声与彩色多普勒颈部超声检查,并对两种方法以及联合应用的检出率进行比较。结果患者经颅多普勒超声检查,检出率为65.00%,经彩色多普勒超声检查,检出率88.33%,而两种方法联合应用,检出率98.33%。两种方法联合应用检出率高于经颅多普勒超声以及彩色多普勒超声单独检测,差异均具有统计学意义(χ2=22.26,4.82,P<0.05)。结论对于椎-基底动脉供血不足的患者来说,应用经颅多普勒超声和彩色多普勒颈部超声进行联合检测,检出率明显高于两种方法单独应用,值得在临床推广使用。
Objective To explore the value of combined transcranial Doppler ultrasound and color Doppler ultrasound in the diagnosis of vertebro-basilar insufficiency and its clinical application. Methods Sixty patients with vertebro-basilar insufficiency were selected. All patients underwent transcranial Doppler ultrasonography and color Doppler ultrasonography. The detection rates of the two methods and the combination were compared. Results The transcranial Doppler echocardiography showed that the detection rate was 65.00%. The detection rate was 88.33% by color Doppler ultrasonography. The combined detection rate was 98.33%. The combined detection rate of the two methods was higher than transcranial Doppler ultrasound and color Doppler ultrasound alone test, the difference was statistically significant (χ2 = 22.26,4.82, P <0.05). Conclusion For patients with vertebro-basilar insufficiency, the combined detection of transcranial Doppler ultrasound and color Doppler neck ultrasonography, the detection rate was significantly higher than the two methods alone, it is worth to promote the use of the clinical.