摘要
目的 加深对颈动脉狭窄DSA表现特征的认识 ,探讨DSA对颈动脉狭窄的诊断价值。方法 对 14 2例颈动脉狭窄患者选择性DSA造影的资料进行回顾分析 ,由 2名医生共同对其DSA表现进行动态观察、分析 ,并达成一致意见。结果 颈动脉造影显示全部患者颈动脉均有不同程度的狭窄 ,其中狭窄程度≤ 5 0 %者 2 6例 ,>5 0 %而≤ 70 %者 66例 ,狭窄程度 >70 %者 5 0例。狭窄部位位于颈总动脉 14例 ,颈内动脉 12 8例 ;狭窄段长度 8～ 65mm ,平均 (14 .5± 2 .5 )mm。结论 DSA检查是颈动脉狭窄诊断的金标准 ,有利于估计其预后并制订治疗方案。
Objective To investigate DSA appearances of the stenosis of carotid artery and to evaluate clinical value of DSA diagnosis. Methods One hundred and forty-two patients with stenosis of carotid artery [96 men, 46 women;aging 52-76 years, averaged age (63.5±9) years] undergoing selective DSA were analyzed retrospectively. The DSA appearances in all of the patients were observed dynamically in a double blind method by two experienced radiologists together and formed a consensus interpretation. Results One hundred and forty-two patients, who underwent selective DSA of the left and right carotid artery, obtained the correct diagnosis. Carotid angiogram showed that the degree of the stenosis was less than 50% in 26 patients,50%～70% in 66 cases,and greater than 70% in 50 patients. Common carotid artery was involved in 14 patients, and internal carotid artery in 128 patients. The stenosis spaned from 20 to 60 mm. Conclusion DSA, one of the ideal and reliable diagnosing methods, is very important to assess the prognosis and to determine the therapy plans for carotid artery stenosis.
出处
《现代医学》
2005年第1期18-20,共3页
Modern Medical Journal
