摘要
目的探讨经络多普勒超声(TCD)和螺旋CT血管造影(CTA)对缺血性脑血管病的诊断作用。方法选取医院2017年10月-2019年10月就诊的缺血性脑血管病患者113例进行回顾性分析,其中有狭窄者74例,无狭窄者39例,查看其TCD和CTA检查结果,比较TCD和CTA对缺血性脑血管病的诊断结果,分析血管狭窄的危险因素。结果TCD与CTA对于缺血性脑血管病的诊查一致性良好,差异不具有统计学意义(P>0.05);糖尿病、吸烟史和血脂水平是影响缺血性脑血管病发病的危险因素(P<0.05)。结论TCD与CTA对于缺血性脑血管病的诊断有良好的一致性,临床应用其诊查动脉狭窄可行可靠。
Objective To investigate the role of TCD and CTA in the diagnosis of ischemic cerebrovascular disease.Methods From October 2017 to October 2019,113 patients with ischemic cerebrovascular disease were selected for retrospective analysis,including 74 patients with stenosis and 39 patients without stenosis.The results of TCD and CTA were compared,and the risk factors of vascular stenosis were analyzed.Results There was no significant difference between TCD and CTA in the diagnosis of ischemic cerebrovascular disease(P>0.05).Diabete,smoking and blood fat were influence factor(P<0.05).Conclusion There is a good consistency between TCD and CTA in the diagnosis of ischemic cerebrovascular disease,and it is feasible and reliable in clinical application.
作者
王舒阳
WANG Shuyang(Special Diagnosis and Treatment Department,Chifeng hospital,Chifeng Inner Mongolia 024000,China)
出处
《中国继续医学教育》
2020年第27期144-147,共4页
China Continuing Medical Education
关键词
经颅多普勒超声
螺旋CT
血管造影
缺血性脑血管病
诊断
应用
transcranial Doppler ultrasound
spiral CT
angiography
ischemic cerebrovascular disease
diagnosis
application