Ультразвуковая допплерография в диагностике стеноокклюзирующих поражений экстра- и интракраниальных артерий головного мозга

Objective to analyze the results of observation of patients with cerebrovascular ischemia in the last 5 years. Materials and methods. During the period from November 2010 to November 2015 are conducted 5800 Doppler ultrasound investigations in the departments of the Kharkiv Regional Clinical Hospital. Patients were assessed according to the protocols using Doppler ultrasound study. In the majority of observations (1306 (90 %)) were revealed stenosis of the common carotid artery. Stenosis of the internal carotid artery and stenosis of the external carotid artery occurred with the same frequency. Share stenoses of the vertebral arteries was 10 % (145 cases), from them right vertebral artery stenosis 60 % and left vertebral artery 20 %. According to our data, extraand intracranial stenosis of cerebral arteries more often occur in men (in 70 % of observations). Results. A comprehensive analysis of all signs of steno-occlusive arterial disease of the brain to determine informative, not mandatory and optional dopplerographic signs, which allows to differentiate diseased artery from the variant of its development. The results of monitoring of patients with cerebrovascular ischemia over the past 5 years have shown significantly reduced of the stabilization and recovery period after vascular accident thanks to this method. Conclusions. Doppler ultrasound investigation of cerebral arteries is one of the most informative and essential method of ultrasound investigation in daily medical practice. Doppler ultrasound investigation of extraand intracranial cerebral arteries can be effectively used not only for control a pathological condition, also for the screening of patients.