中风与神经疾病杂志2025，Vol.42Issue(9)：789-795,7.DOI:10.19845/j.cnki.zfysjjbzz.2025.0149
左侧无名静脉受压患者的临床及血流动力学特征分析
Clinical and hemodynamic features of patients with left innominate vein compression
潘希娟 1刘然 2崔柳平 2周福波 2陈虹秀 2段建钢 3邢英琦2
作者信息
- 1. 首都医科大学宣武医院血管超声科,北京 100053||中国医学科学院北京协和医学院国家心血管病中心阜外医院医学影像中心超声科,北京 100037
- 2. 首都医科大学宣武医院血管超声科,北京 100053
- 3. 首都医科大学宣武医院急诊科,北京 100053
- 折叠
摘要
Abstract
Objective To investigate the hemodynamic features of left innominate vein(LIV)compression and their association with clinical manifestations,and to assess the diagnostic value of ultrasound.Methods A total of 32 pa-tients with LIV compression and 67 healthy controls(HCs)were enrolled,and according to the symmetry of the diameters of bilateral transverse sinuses,sigmoid sinuses,and internal jugular veins(IJV),the HCs were divided into symmetric group with 32 individuals and asymmetric group with 35 individuals.All subjects underwent CTV/MRV and ultrasound examination to measure the diameter,velocity,and flow volume of IJV and vertebral vein,and the differences between groups were analyzed.The receiver operating characteristic(ROC)curve was plotted to assess diagnostic efficacy.Results The patients with LIV compression mainly had the neurological symptoms such as cerebral tinnitus,dizziness,and tinnitus.Compared with the HCs,the patients with LIV compression had a significantly lower total flow volume of IJV and vertebral vein on the ipsilateral side[(406.42±177.05)ml/min vs(742.55±276.41)ml/min,P<0.001)],and the parameters of the ipsilateral side were lower than those of the contralateral side.There was no significant difference in the flow volume of IJV between the contralateral side of patients with LIV compression and the dominant side of the HCs in the asymmetric group.Total flow volume had an area under the ROC curve of 0.849 in predicting LIV compression,with a sensitivity of 77.60%,a specificity of 78.10%,and a cut-off value of<525.73 ml/min.Conclusion This study system-atically reveals the blood flow characteristics of the bilateral IJV-vertebral vein system in patients with LIV compression,i.e.,LIV compression leads to a reduction in flow on the ipsilateral side and a compensatory increase on the contralateral side,and the asymmetry of bilateral blood flow may be the cause of the symptoms such as cerebral tinnitus and tinnitus.Ul-trasound can be used to measure the total flow volume of IJV and vertebral vein,and it can effectively identify this disease and thus has a good value in screening.关键词
左侧无名静脉受压/脑鸣/耳鸣/颈内静脉/椎静脉Key words
Left innominate vein compression/Cerebral tinnitus/Tinnitus/Internal jugular vein/Verte-bral vein分类
医药卫生引用本文复制引用
潘希娟,刘然,崔柳平,周福波,陈虹秀,段建钢,邢英琦..左侧无名静脉受压患者的临床及血流动力学特征分析[J].中风与神经疾病杂志,2025,42(9):789-795,7.
