目的: 分析颈内静脉超声受检者的临床资料及影像学资料,探讨颈内静脉检查的常见病变类型及相关危险因素。方法: 以包头市中心医院2017年7月—2023年5月在神经内科进行颈内静脉超声检测的150例患者为研究对象,分析所有患者超声、影像学资料和颈内静脉病变的常见类型,采用多因素Logistic回归分析颈内静脉疾病危险因素。结果: 与正常组相比,颈内静脉单侧狭窄组(局限性狭窄、长段纤细)患者发病年龄较小(41.85±19.19岁),常合并颅内静脉发育不良(P＜0.05);与正常组相比,颈内静脉血栓组患者发病年龄较大(61.31±12.49岁),恶性肿瘤病史(OR＝9.315,95%CI: 2.043-42.469)、贫血(OR＝7.320,95%CI:1.715-31.234)、颈内静脉置管(OR＝5.198,95%CI: 1.015-26.622)、慢性肾病病史(OR＝10.080,95%CI: 1.082-93.937)、D-二聚体升高(OR＝4.605,95%CI: 1.128-18.798)为颈内静脉血栓的危险因素。结论: 颈内静脉超声检测可清晰的显示颈内静脉血管结构及血流动力学情况,颈内静脉血栓是颈内静脉病超声检测的常见病变类型,恶性肿瘤病史、贫血、颈内静脉置管、慢性肾病病史、D-二聚体升高是颈内静脉血栓发生的危险因素。
Objective: To investigate the common lesion types and related risk factors of internal jugular vein examination byanalyzing the clinical data and imaging data of internal jugular vein ultrasound subjects. Methods: A total of 150 patients who underwent ultrasound examination of internal jugular vein in the Department of Neurology of Baotou Central Hospital from July 2017 to May 2023 were selected as the research objects. The ultrasound, imaging data and common types of internal jugular vein disease. Results: Compared with the normal group,the patients in the unilateral jugular vein stenosis group (localized stenosis, long thin segment) had a younger age of onset (41.85±19.19 years), and were often complicated with intracranial vein dysplasia (P＜0.05). Compared with the normal group,the patients in the internal jugular vein thrombosis group had an older onset age (61.31±12.49 years).Multivariate analysis showed had a history of malignant tumor (OR＝9.315, 95%CI: 2.043-42.469),anemia (OR＝7.320, 95%CI: 1.715-31.234),internal jugular vein catheter (OR＝5.198, 95%CI: 1.015-26.622),history of chronic kidney disease (OR＝10.080, 95%CI: 1.082-93.937),and elevated D-dimer (OR＝4.605, 95%CI:1.128-18.798) were risk factors for the patients of internal jugular vein thrombosis. Conclusion: Internal jugular vein ultrasound clearly show the structures and hemodynamics of internal jugular vein disease detected by ultrasound. History of malignant tumor, anemia, internal jugular vein catheterization, history of chronic kidney disease,and elevation of D-dimer are the risk factors for the internal jugular vein thrombosis.
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