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颅内动脉瘤是常见的脑血管疾病,动脉瘤夹闭术仍是目前治疗最佳方法。超声检测不仅在血流动力学监测方面具有优越性,还具备无创和快速方便的特点。颅内动脉瘤夹闭术中实时超声监测是显示动脉瘤周围显微解剖关系,夹闭后的动脉瘤及周围血管进行血流动力学判定,判定重建血管是否通畅、动脉瘤是否完全夹闭、血管是否狭窄或痉挛等的简单而有效的方法。超声造影通过超声造影剂来放大超声能量散射,提高信噪比,提高了经颅多普勒(transcranial doppler,TCD)在脑血管病中的诊断价值。在颅内动脉瘤疾病的诊治过程中,合理应用超声检查技术,可以减少迟发性缺血性神经功能障碍和术后再破裂出血等并发症的发生率,提高颅内动脉瘤治疗效果,降低死亡率和致残率。
Intracranial aneurysm is a common cerebrovascular disease, aneurysm clipping is still the best method of treatment. Ultrasound is not only superior in hemodynamic monitoring, but also noninvasive and fast and convenient. Intracranial aneurysm clipping surgery real-time ultrasound monitoring is to show the microanatomy around the aneurysm, after clipping the aneurysms and peripheral blood flow hemodynamic determination to determine whether the reconstruction of blood vessels is smooth, whether the aneurysm is completely closed, Whether the stenosis or spasm of blood vessels and other simple and effective method. Ultrasound contrast through ultrasound contrast agent to amplify ultrasonic energy scattering, improve signal to noise ratio, improve the transcranial doppler (transcranial doppler, TCD) in the diagnosis of cerebrovascular disease. In the diagnosis and treatment of intracranial aneurysm disease, the rational application of ultrasound examination can reduce the incidence of delayed ischemic neurological dysfunction and postoperative rupture of bleeding and other complications, improve the treatment of intracranial aneurysms, reduce Mortality and morbidity rates.