摘要
目的探讨颈动脉血管超声联合脑血管造影在脑梗死合并颈动脉狭窄病变中的诊断价值。方法73例脑梗死合并颈动脉狭窄病变患者,均进行颈动脉血管超声、脑血管造影单独诊断及联合诊断。比较三种诊断方法的颈动脉狭窄检出情况,在不同年龄(青年、中年、老年)患者中的颈动脉狭窄检出率,分析颈动脉血管超声联合脑血管造影的颈动脉狭窄吻合率。结果颈动脉血管超声、脑血管造影单独诊断与联合诊断的颈动脉狭窄检出率分别为65.75%、58.90%、94.52%。联合诊断的颈动脉狭窄检出率明显高于脑血管造影、颈动脉血管超声单独诊断,三种诊断方法比较差异具有统计学意义(P<0.05);脑血管造影与颈动脉血管超声单独诊断的颈动脉狭窄检出率比较,差异无统计学意义(P>0.05)。相同颈动脉狭窄分级中,三种诊断方法对青年、中年、老年患者的颈动脉狭窄检出率比较差异均无统计学意义(P>0.05)。颈动脉血管超声联合脑血管造影的狭窄1~3级、4级及总体吻合率分别为91.67%、100.00%、94.52%。结论颈动脉血管超声联合脑血管造影在脑梗死合并颈动脉狭窄病变中具有较好的诊断价值,联合诊断效果要显著优于单独诊断,值得推广应用。
Objective To discuss the diagnostic value of carotid artery ultrasound combined with cerebral angiography in cerebral infarction complicated with carotid artery stenosis.Methods 73 patients with cerebral infarction complicated with carotid artery stenosis were all diagnosed by carotid artery ultrasound and cerebral angiography alone and in combination.Comparison was made on detection of carotid artery stenosis among the three methods,as well as detection rates of carotid artery stenosis in patients of different ages(young,middle-aged,and elderly).The anastomosis rate of carotid artery stenosis by carotid artery ultrasound combined with cerebral angiography was analyzed.Results The detection rates of carotid artery stenosis diagnosed by carotid artery ultrasound and cerebral angiography alone and in combination were 65.75%,58.90%,and 94.52%,respectively.The detection rate of carotid artery stenosis in the combined diagnosis was significantly higher than that of cerebral angiography and carotid artery ultrasound alone,and the differences among the three diagnostic methods was statistically significant(P<0.05).There was no statistically significant difference in the detection rate of carotid artery stenosis between cerebral angiography and carotid artery ultrasound alone(P>0.05).Under the same degree of carotid artery stenosis,there was no statistically significant difference in the detection rate of carotid artery stenosis among young,middle-aged and elderly patients among the three diagnostic methods(P>0.05).The stenosis grade 1-3,grade 4 and overall anastomosis rates of carotid ultrasound combined with cerebral angiography were 91.67%,100.00% and 94.52%,respectively.Conclusion Carotid artery ultrasound combined with cerebral angiography has good diagnostic value in cerebral infarction complicated with carotid artery stenosis.The combined diagnosis has significantly better effect than that of single diagnosis,and it is worthy of popularization and application.
作者
武静怡
杜改燕
WU Jing-yi;DU Gai-yan(Department of Preventive Health Care,Shanxi Bethune Hospital,Taiyuan 030001,China)
出处
《中国现代药物应用》
2022年第17期69-72,共4页
Chinese Journal of Modern Drug Application
关键词
颈动脉血管超声
脑血管造影
脑梗死
颈动脉狭窄病变
诊断价值
Carotid artery ultrasound
Cerebral angiography
Cerebral infarction
Carotid artery stenosis
Diagnostic value
