摘要
目的探究128层CT血管造影(CTA)与颈部超声在缺血性脑血管疾病诊断中应用价值。方法选择2020年7月~2022年7月医院收治103例缺血性脑血管疾病患者相关资料予以回顾性分析,患者接受CTA、颈部超声及数字减影血管造影(DSA),分析CTA与颈部超声在缺血性脑血管疾病中诊断价值。结果以DAS为金标准,CTA对动脉中重度狭窄诊断特异度、准确度显著高于颈部超声(P<0.05),CTA与颈部超声对动脉中重度狭窄诊断灵敏度比较没有统计学意义(P>0.05),CTA与颈部超声Kappa值分别为0.857、0.757;CTA发现颈部斑块288处,颈部超声发现颈部斑块处232处,CTA对于ICA处斑块检出率明显高于颈部超声(P<0.05),CTA与颈部超声对于椎动脉以及CCA部位斑块检出率比较没有统计学意义(P>0.05);CTA与颈部超声对软斑块及混合性斑块检出率比较没有统计学意义(P>0.05),CTA对钙化斑块检出率高于颈部超声(P<0.05);结论CTA与颈部超声均可以发现缺血性脑血管疾病患者动脉狭窄情况及斑块性质,但是CTA在发现患者动脉狭窄情况及钙化斑块上优势更明显。
ObjectiveTo investigate the application value of 128-slice CT angiography(CTA)and neck ultrasound in the diagnosis of ischemic cerebrovascular diseases.MethodsThe relevant data of 103 patients with ischemic cerebrovascular diseases admitted to the hospital from July 2020 to July 2022 were retrospectively analyzed.The patients were examined with CTA,neck ultrasound and digital subtraction angiography(DsA).The diagnostic value of CTA and neck ultrasound in ischemic cerebrovascular diseases was analyzed.ResultsTaking DAs as the golden standard,the specificity and accuracy of CTA for diagnosing moderate to severe arterial stenosis were significantly higher than those of neck ultrasound(P<0.05).There was no statistically significant difference in the sensitivity between CTA and neck ultrasound for diagnosing moderate to severe arterial stenosis(P>0.05).The Kappa values of CTA and neck ultrasound were 0.857 and 0.757,respectively.CTA found 288 carotid plaques,and neck ultrasound found 232 carotid plaques.The detection rate of CTA for ICA plaques was significantly higher than that of neck ultrasound(P<0.05),but there were no statistically significant differences in the detection rates of vertebral artery and CCA plaques,soft plaques and mixed plaques(P>0.05).The detection rate of CTA for calcified plaque was higher than that of neck ultrasound(P<0.05).Conclusion Both CTA and neck ultrasound can detect arterial stenosis and plaque property in patients with ischemic cerebrovascular diseases,but CTA has more advantages in detecting arterial stenosis and calcified plaques.
作者
陈亚伟
姚崇一
景会娜
张欣宇
张金躯
CHEN Ya-wei;YAO Chong-yi;JING Hui-na;ZHANG Xin-yu;ZHANG Jin-qu(Imaging Department of the Third People's Hospital directly under Zhengzhou 450000,Henan Province,China;General Medicine Department of the Third People's Hospital directly under the South Zhengzhou 450000,Henan Province,China;Department of Ultrasound,the Second Affiliated Hospital of Henan University of Science and Technology,Zhengzhou 450000,Henan Province,China)
出处
《中国CT和MRI杂志》
2023年第9期25-27,共3页
Chinese Journal of CT and MRI
基金
2019年度河南省医学科技攻关计划联合共建项目(LHGJ20191242)。
