隋晓雯 李福荣 张美艳 潘心 赵红玲 刘金洁 赵红

    [摘要] 大脑中动脉(MCA)狭窄是导致脑梗死的常见原因，且能影响到重要的功能区，目前经皮血管成型并支架植入术已广泛应用于MCA狭窄的治疗中，基于经颅多普勒超声(TCD)的无创、无痛、廉价等优点，在经皮血管成型并支架植入术的监测及随诊中广泛应用，本文从TCD在术前、术后评估参数的选择、术中微栓子监测、术后识别高灌注综合征、血管痉挛及再狭窄几个方面的应用进行综述，以期TCD作为一种检查手段能尽早识别手术并发症，更好地服务于临床。

    [关键词] 大脑中动脉狭窄;经皮血管成型并支架植入术;经颅多普勒超声;数字减影血管造影

    [中图分类号] R743? ? ? ? ? [文献标识码] A? ? ? ? ? [文章编号] 1673-7210(2020)02(b)-0046-04

    Application progress of transcranial Doppler ultrasound in stent assisted angioplasty for middle cerebral artery stenosis

    SUI Xiaowen1? ?LI Furong1? ?ZHANG Meiyan1? ?PAN Xin1? ?ZHAO Hongling1? ?LIU Jinjie2? ?ZHAO Hong1

    1.Department of Neurology， Dalian Municipal Central Hospital， Liaoning Province， Dalian? ?116000， China; 2.General Department， Dalian Municipal Central Hospital， Liaoning Province， Dalian? ?116000， China

    [Abstract] Middle cerebral artery(MCA) stenosis is a common cause of cerebral infarction and can affect important functional areas. At present， stent assisted angioplasty have been widely used in the treatment of MCA stenosis. Based on the advantages of transcranial Doppler ultrasound ......