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中华医学超声杂志(电子版) ›› 2020, Vol. 17 ›› Issue (06) : 593 -595. doi: 10.3877/cma.j.issn.1672-6448.2020.06.021

所属专题: 经典病例 文献

病例报告

外伤性颈内动脉假性动脉瘤超声表现一例
周桂丽1, 谭莉2,()   
  1. 1. 518057 中国医学科学院 阜外医院深圳医院超声科
    2. 100730 中国医学科学院 北京协和医学院 北京协和医院超声科
  • 收稿日期:2019-06-27 出版日期:2020-06-01
  • 通信作者: 谭莉

Ultrasound manifestations of traumatic internal carotid artery pseudoaneurysm: a case report

Guili Zhou1, Li Tan2()   

  • Received:2019-06-27 Published:2020-06-01
  • Corresponding author: Li Tan
引用本文:

周桂丽, 谭莉. 外伤性颈内动脉假性动脉瘤超声表现一例[J]. 中华医学超声杂志(电子版), 2020, 17(06): 593-595.

Guili Zhou, Li Tan. Ultrasound manifestations of traumatic internal carotid artery pseudoaneurysm: a case report[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2020, 17(06): 593-595.

图1 二维超声显示左侧颈总动脉分叉处无回声囊腔。图a为长轴切面;图b为短轴切面
图2 假性动脉瘤瘤体与颈内动脉交通超声图像。图a为彩色多普勒超声显示瘤腔内红蓝相间的漩流血流信号;图b为二维超声显示瘤体与颈内动脉交通,颈内动脉管壁连续性中断,破裂口内径2.5 mm(箭头所示)
图3 假性动脉瘤破裂口及颈内动脉的血流频谱图。图a示破裂口频谱呈"双期单向",包括高速的收缩期血流(白色箭头)和相对低速的舒张期血流(黄色箭头),两者同为负向血流;图b示左侧颈内动脉受压狭窄,流速增高
图4 左侧颈内动脉假性动脉瘤血流动力学示意图
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