Objective To investigate the effect of color Doppler ultrasound combined with transcranial Doppler ultrasound in the clinical diagnosis of vertebrobasilar insufficiency. Methods A total of 107 patients with vertebral base arterial insufficiency admitted to our hospital from December 2017 to November 2018 were convenient and enrolled. The patients underwent transcranial Doppler ultrasound (group A), color Doppler ultrasound (group B), and color ultrasound transcranial Doppler ultrasound diagnosis (group C), the patient's surgical pathological examination results as the gold standard, compared with the three groups of diagnostic programs efficacy. Results The diagnostic rate of group A was 59.81%(64 cases), the effective rate of diagnosis in group B was 70.09%(75 cases), the effective rate of diagnosis in group C was 98.13%(105 cases), and the pathological result was 100.00%(107 cases). The difference between the group A and the surgical pathological examination was statistically significant (χ^2=13.814, P<0.05). The difference between the group A and the group C was statistically significant (χ^2=10.714, P<0.05);Group B and surgical pathology had statistical significance (χ^2=9.391, P<0.05). The difference between the group B and the group C was statistically significant (χ^2=6.533, P<0.05). There was no statistical difference between the group C and the surgical pathology(χ^2=1.018, P>0.05). Conclusion Compared with color Doppler ultrasound and transcranial Doppler ultrasound alone, the combined diagnosis of vertebrobasilar insufficiency patients with two regimens has a better detection rate, which can reduce misdiagnosis and missed diagnosis, and provide more follow-up treatment for patients, with valuable reference information.
China & Foreign Medical Treatment
Vertebral basilar artery insufficiency
Color Doppler ultrasound
Transcranial Doppler ultrasound