頸動脈及顱內血管超音波判讀：嚴重性評估與治療建議-心臟血管專科

頸動脈及顱內血管超音波判讀？

蔡醫師 您好,因公司健檢頸動脈數字異常後至醫學中心進行頸動脈及顱內血管超音波檢查 ，當時醫生只解釋腦血管流速太快血管狹窄，請我半年後回診，並無做太多解釋就請我返回。
返家後非常擔憂狀況，懇請醫師幫忙判讀內容且對報告結果給予說明及建議另請教 所提及的血管狹窄的部分能就報告判斷嚴重性嗎 ?我能做甚麼積極的治療或檢查來預防謝謝醫師撥冗醫學中心超音波報告如下PSA EDV PI RI lumen Diameter Flow Volume(cm/s) (cm/s) (cm) (ml/min)Rt CCA 128.4 35.64 1.42 0.72 467.2Rt BulbRt ICA 118 41.78 1.12 0.65 294.1Rt ECA 137.2 27.08 1.87 0.8 162.0Rt VA 53.8 19 1.02 0.65 0.24 48.9RT CCA-IMT : 0.61mmLt CCA 96.2 28.74 1.28 0.70 510.8Lt BulbLt ICA 99.5 44.11 0.91 0.56 398.2Lt ECA 108.9 18.72 2.27 0.83 90.3Lt VA 78.2 34.10 0.88 0.56 0.33 156.5Lt CCA-IMT : 0.56mmComment :The color-coded and duplex echo studies showed:1. normal intimal thickness of bilatera 1 CCA.2. faintly echogenic heterogenous atherosclerotic plaques are seen at bilateral CB.3. The color-flow imaging studies show no significant change in bilateral carotid systems.4. The studies of the vertebral A in neck portion (V2) showed norma1 diameter and normal co1or-flow imaging picture in both sides.The spectral analys is of Doppler echo showed1. Normal f1ow direction, flow pattern,and velocity were noted in the bilatera1 CCA. EAC, and ICA.2. normal flow direction. normal flowI pattern, and normal velocity were noted in the bilateral VA(V2).3. total flow volume of bilateral VA(V2) are adequate.These TCD studies showed:1. increased PSV of LMCA(164.36 cm/s) is seen, stenosis of LMCA should be considered.2. Normal flow direction and flow velocity in bilateral OA and CS of ICA are seen.3. normal f1ow direction and flov velocities of BA and bilateral VA are seen.TCD/TCCS PSV MV PI RI Findings(cm/s) (cm/s)Trans-temporal Rt ACA 78.7 41.5 1.34 0.71Rt MCA 93.4 60.1 0.83 0.53Rt PCA 91.6 61.3 0.74 0.50Lt ACA 48.7 29.6 0.97 0.59Lt MCA 164.3 95 1.09 0.63Lt PCA 69.3 44.9 0.81 0.53Trans-foraminal RT VA -72.6 43.3 1.01 0.60LT VA -45.9 27.1 1.04 0.61BA 88.6 56.2 0.86 0.55Trans-orbital RT OA 37.3 19.6 1.35 0.71RT Siphon 50.5 24.6 1.57 0.77Lt OA 43.8 22.0 1.49 0.75Lt Siphon 62.3 34.8 1.18 0.66