경동맥 초음파 Ultrasonography for Carotid Artery

I . 기초

1. 경부 혈관계 해부학 ························2
경동맥 초음파 검사 순서 ······················ 4
경동맥 초음파 검사를 통한 접근 ····················5

2. 검사법 ······························6
(1) Probe를 잡는 방법 ·······················6
● 와위(누운 자세)에서의 검사법 ··················7
(2) 총경동맥 찾기 ·························8
(3) 내경동맥 찾기 ·························9
(4) 추골동맥 찾기 ·························10
● 좌위(앉은 자세)에서의 검사법 ·················11
(5) 총경동맥 찾기 ·························11
(6) 내경동맥 찾기 ·························12
(7) 추골동맥 찾기 ·························13

3. 경동맥 초음파 검사의 포인트 ··················14
(1) 내경동맥과 외경동맥의 구별 ···················17
● 해부학적 특징에 따른 구별 ···················17
● 혈류속도 파형에 따른 구별 ···················18
(2) 추골동맥 찾기 ·························20

4. 측정법과 유의점 ························22
(1) IMT 측정 ··························· 22
(2)혈관지름측정 ························· 26
(3) pulsed Doppler 측정 및 유의점 ················28
◆ MEMO-pulsed Doppler법에 따른 2가지 평균 유속 ·······31
(4) 내경정맥과의 비교 ·······················32
ㅍ MEMO-혈관저항에 따른 도플러 파형 변화 ···········33

5. Plaque의 기본 ·························34
(1) Plaque의 정의 ························34
(2) 표면 형태에 따른 분류 ·····················35
(3) 에코에 따른 분류 ·······················36
(4) 성상과 초음파상 ························39
(5) 궤양 병변과 그 분류 ······················ 41
(6) 기재 방법에서 풀어야 할 과제 ·················43
◆ MEMO-오해하기 쉬운 경동맥 초음파로 얻은 경동맥 협착률 ····44

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