解放军医学杂志2012,Vol.37Issue(4):383-386,4.
飞行学员椎动脉二维及彩色多普勒超声检测分析
Two-dimensional and color Doppler ultrasound analysis of vertebral artery in pilot cadets
摘要
Abstract
Objective To investigate the development of vertebral artery in the 2010 enrolled pilot cadets , and provide a foundation for introducing vertebral artery ultrasound examination into inclusion criteria. Methods The ultrasound findings of the vertebral artery in 722 pilot cadets, including its origin, shape, diameter and hemodynamic patterns, were retrospectively reviewed by two-dimensional and color Doppler ultrasound. The proportion of its congenital dysplasia was calculated and summarized. Results Among the 722 pilot cadets, both the inner diameter of the initial segment (D1) and the intervertebral segment (D2) of left vertebral artery were wider than the right one (3.624 ± 0.017mm vs 3.489 ± 0.018mm, 3.623 ± 0.018mm vs 3.438 ± 0.019 mm, P<0.05). The peak systolic velocity of the intervertebral segment in left vertebral artery (Vmax) was found to be faster than the right (53.547 ± 0.412cm/s vs 48.463 ± 0.405cm/s, P<0.05). The diameter of vertebral artery ranged from 2.5mm to 3mm accounted for 17.5% and that less than 2.5mm accounted for only 6.9%. Narrow caliber of the artery was more common in the right vertebral artery (16% vs 8.3%, P<0.05). In 24 persons only the course of arteries on both sides appeared abnormal, accounting for 3.3%, including 19 cases with abnormal course only and 5 cases with both abnormal origin and course. There was no significant difference between left and right in the 19 cases with shape abnormality only (P>0.05). Among 5 persons showed both abnormal origin and shape, there were 2 cases in whom there was also small caliber. Conclusions Multiple congenital dysplasia of vertebral artery was found in pilot cadets. The ultrasonography examination of vertebral artery should be included in the selection criteria for pilot cadet enrollment as early as possible.关键词
椎动脉/超声检查/飞行员Key words
vertebral artery/ultrasonography/pilots分类
医药卫生引用本文复制引用
刘淑萍,李利,孙斌,汪娜,周晓军,陈同欣,刘庆元,姚克纯,马中立..飞行学员椎动脉二维及彩色多普勒超声检测分析[J].解放军医学杂志,2012,37(4):383-386,4.基金项目
全军"十二五"重大专项课题(akj11j003) (akj11j003)