颈动脉间的

Results In 84 cases of nerve root type,stenosis was found in 438 intervertebral foramen,of which C6～7 and C5～6 intervertebral foramen stenosis accounted for 79.6%.The causes of intervertebral foramen stenosis were uncinate process articulation hyperosteogeny,intervenebral disc protrusion,vertebral body hypertrophy,zygapophysis hyperosteogeny and dislocation etc.40 cases of vertbral artery type manifested that vertbral artery became slim and deviousness as a result of the compression of vertbral artery （20.7%） by osteophyte.22 cases of myeloid type manifested with cervical spinal canal stenosis,hyperosteogeny of posterior vertebral body edge,posterior longitudinal ligament calcification and cervical intervertebral disc protrusion etc.

结果 84例神经根型中，发现椎间孔狭窄438处，其中C5～6和C6～7椎间孔狭窄占79.6%，椎间孔狭窄的成因有钩突关节骨质增生、椎间盘突出、椎体肥大、小关节突骨质增生、错位等；40例椎动脉型表现为骨赘压迫椎动脉（52.5%），导致椎动脉变细、粗细不均和椎动脉迂曲。22例脊髓型表现为颈椎椎管狭窄、椎体后缘骨质增生、后纵韧带钙化、椎间隙狭窄和颈椎间盘突出等。

Material and Methods:From March,2008 to January,2009,250 patients(146 Males and 104 Females,ranged from 18 to 82 years old,mean age was 48 years old) enrolled in the First Affiliated Hospital of Kunming Medical College were performed dual energy scan(Group A,200 patients) and Neuro-DSA scan(Group B,50 patients) using DSCT.The patients were randomly divided into Group A and Group B.Regarding to the justification of scan protocol,100 patients in Group A were selected as sub-group to explore the scan protocol.The image quality Was analyzed both in four categories(4.0/60、4.5/60、4.0/70、4.5/70) of flow rate and total amount of contrast-enhanced material and in three categories(100—150HU、150—200HU、200-250HU) of CT value of left common carotid artery.The comparison of two scan approach was based on image quality,radiation does, postprocessing methods,time of scanning and subtraction and data storage amount.To validate the diagnostic capability of DE-CTA virtual unenhanced images,100 patients in Group A were undergoing head scan both in routine non-contrast program and DE-CTA virtual unenhanced program.Mean CT values,signal-to-noise ratio,image quality,sensitivity of lesion identification,and radiation does were applied to comparison.According to diagnostic results of dual energy of cerebral arterial angiography,62 patients out of 200 patients in Group A were confirmed with cerebral vessel lesions,the results were complied with DSA findings(the time between the two methods were within 1 week).

材料与方法收集2008年3月到2009年1月间在昆明医学院第一附属医院行DSCT CTA检查者250例(男性146例，女性104例，年龄范围18-82岁，平均48岁)，随机分为A、B两组，A组200例行双能量头颅CTA扫描；B组50例行Neuro-DSA扫描。A组前100例按对比剂不同流率和总量分为4组(4.0/60、4.5/60、4.0/70、4.5/70)对图像质量比较；按触发时左颈总动脉内平均CT位分3组(100—150HU、150—200HU、200-250HU)，比较图像质量的差异；对A、B两组血管图像质量、辐射剂量、后处理的方法、扫描和后处理时间及数据的容量进行比较分析；A组中前100例行常规与DE-CTA虚拟平扫的平均CT值、信号噪声比、图像质量、病灶显示情况、辐射剂量的比较分析；A组中行DSA检查62例(两种方法间隔时间均1周内)，比较两种检查方法诊断结果是否符合，并对其中24例动脉瘤行动脉瘤部位、数目、形态、瘤颈显示程度、瘤颈大小及瘤体长径和短径的比较研究。

Methods and results We assume the carotid arterial wall is the elastic material so we can use the Hooke's law to analyze it. The experiment is based on the use of ultrasound B-mode imaging technique and the off-line image analysis. Elastic tube phantom experiments demonstrated the validity of the technique, providing the size of the tube within 3% of the actual values. The system was also tested in the common carotid arteries of 10 healthy males (age 23.6 y). According to the experimental result, it shows that our index is less variant than Peterson's elastic modulus. The results of and are and respectively.

根据橡皮管的体外实验结果，利用超音波以及影像分析所得到的橡皮管尺寸，与实际尺寸间的误差只有3%，而使用超音波 B-mode 量测颈动脉的实验结果显示，在把颈动脉当作完全弹性体的假设下，所得到的 CIMT 硬度指标，於十位平均年龄为23.6岁的年轻健康男性中，结果与过去文献中常使用的 Peterson's elastic modulus 相比较，结果显示容易受到不同受试者间，不同的生理状态之影响，而在考虑受试者的 IMT 变化情况下，比能够反映更多的受试者颈动脉材料性质，因此得到了较为稳定的实验结果。

Of the 26 lesions with pontine and bulbar involvement, three had no association with other lesions (Fig 2). Twelve were associated with tegmental and superior cerebellar peduncular extension, and six showed corticospinal tract involvement in continuity with an MDJ lesion. In one patient with additional telencephalic lesions, the right side of the pons was hyperintense on long TR/TE images that did not cross the midline, suggestive of an arterial lesion (Fig 3). In two patients with pontine tegmental lesions, there was an associated middle cerebellar peduncle and deep cerebellar white matter involvement (Fig 4). Two others had associated cervical lesions.

在26处脑桥延髓区病灶中，3处病灶仅限于脑桥延髓区，其它部位无病灶（图2）；12处病灶还同时伴有背盖部和小脑上脚/结合臂处病灶；6处病灶为与中脑-间脑接合处病灶相连的皮质脊髓束受累；还有1例患者除端脑见病灶外，右侧脑桥于T2像也见高信号病灶，但未超越正中线，提示可能系动脉病变所致（图3）；2例脑桥背盖部病灶的患者同时伴有小脑中脚/小脑脑桥脚和小脑深部白质受累（图4）；还有2处脑桥延髓区病灶还同时伴有颈髓病灶。

Methods The extracranial carotid arteries and proper palmar digital arteries of 80 patients with type 2 diabetic combine cerebral infarction, 30 patients with type 2 diabetic and 41 healthy collators were detected by colour-Doppler ultrasound ,the relationships between carotid IMT and risk factors of cerebrovascular disease were evaluated .

利用彩色多普勒超声对 80 例 2 型糖尿病性脑梗死患者、30 例单纯糖尿病患者及 41 例性别、年龄匹配的健康对照人群的颈动脉和指动脉进行检测，并分析颈动脉内中膜厚度与脑血管病危险因素间的关系。

Methods: To divide 102 patients with elderly hypertensive into 3 groups according to the difference of blood pressure result, and compare the relationship between serum uric acid and blood pressure among the different groups. They were divided into normal group、intimae tricking group、plaque shaping group and vascular stenosis group accoraing to ultrasound result. To compare the serum uric acid level and blood pressure among each group.

将102例老年高血压患者按血压值的不同分为三组，比较各组间血尿酸与血压的相关性，对各例患者分别检测血生化指标：空腹血糖、血尿酸、甘油三脂和总胆固醇，B超观察颈动脉变化，按B超结果将患者分为内膜正常组、内膜增厚组、斑块形成组和管腔狭窄组，比较各组间血压、血尿酸水平。

I am accused of being overreligious," she said in her quiet, frank manner,"but that does not prevent me thinking the children very cruel who obstinately commit such suicide.""

客人们在卡罗利娜·埃凯家里，举止就文雅一些，因为卡罗利娜的母亲治家很严厉。

Designed by French fashion house Herm è s, this elegant uniform was manufactured in our home, Hong Kong, and was the first without a hat.

由著名品牌 Herm è s 设计，这件高贵的制服是香港本土制造，是我们第一套不配帽子的制服。