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椎动脉性眩晕的血管形态学变化及分型研究

Study on vertebral artery morphological changes caused vertigo and its classification

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【作者】 范炳华吴良浩张杰吴玲光

【Author】 FAN Bing-hua,WU Liang-hao,ZHANG Jie,WU Ling-guang. Zhejiang College of TCM, Hangzhou 310053,Zhejiang,China

【机构】 浙江中医学院针推科浙江医院浙江医院 浙江杭州310053

【摘要】 目的:探讨椎动脉供血不足所致眩晕的血管形态学改变及分型。方法:对86例颈性眩晕患者,通过彩色经颅多普勒(TCD)检测有椎动脉血流速改变的82例,再作三维CT椎动脉血管造影(3D-CTA)检查,观察椎动脉形态学改变及其相邻组织的关系。结果:椎动脉形态学改变呈多样性,并与相邻组织的关系密切。结论:根据椎动脉形态学改变及与相邻组织的关系,可分为:增生压迫型、不规则狭窄型、阻塞型、纤细型、走行异常型及纤维束带牵拉型。

【Abstract】 Objective: To study the vascular morphological changes of vertigo and it s classification caused by ischemia of vertebral artery. Methods: 86 patients with vertigo caused by ische mia of vertebral artery were performed c olor transcrani al Doppler(TCD)detection and abnormal bl ood flow rates of vertebral artery were found in 82.Based on the examination res ults of tri-dimension CT angiography(3D- C TA)of vertebral artery and vertebral art ery morphological changes,the relation ship between vertebral artery and its n earby tissues was studied. Results: The morphological changes of vertebral a rtery were polymorphic and vertebral art ery had closed relationship to its near by tis sues.Conclusion: According to the results of the study ,vertebral artery caused vertigo can be classified follow types:hyperplasia and compression type,irregular narrow type,b lock type,slender type, abnormal alignme nt type and fibrous band drag type.

【关键词】 椎动脉眩晕分类法血管造影术
【Key words】 Vertebral arteryVertigoClassificationAngiography
【基金】 浙江省中医药科研基金资助项目(编号:2003C120)
  • 【文献出处】 中国骨伤 ,China Journal of Orthopaedics and Traumatology , 编辑部邮箱 ,2005年09期
  • 【分类号】R681.5
  • 【被引频次】43
  • 【下载频次】249
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