关于脑血管造影与血管超声诊断颈动脉狭窄的对比分析  

Comparison analysis of cerebral angiogram and vascular ultrasound in the diagnosis of carotid stenosis

作　　者：刘景萍[1] 张华斌[1] 郝立科[1] 王丽娟[1] 李慧芳[1] 王静怡[1] 杨静[1] 郑薇薇[1] 

机构地区：[1]唐山市人民医院B超科,063000

出　　处：《中国实用医药》2014年第33期15-16,共2页China Practical Medicine

摘　　要：目的通过比较脑血管造影与血管超声诊断颈动脉狭窄的敏感性,评价血管超声诊断颈动脉狭窄的应用价值。方法颈动脉狭窄患者83例,其中中度狭窄27例,重度狭窄29例,颈动脉闭塞27例,均采用脑血管造影以及血管超声诊断,比较两种诊断方法的敏感率。结果脑血管造影与血管超声诊断颈动脉狭窄的敏感率差异无统计学意义(P>0.05),诊断颈动脉闭塞的敏感率差异具有统计学意义(P<0.05)。结论利用血管超声来诊断颈动脉狭窄,在一般情况下可替代脑血管造影,但对于颈动脉闭塞的患者来说,血管超声诊断方法在敏感性方面还存在着较大的不足。Objective To evaluate the application value of vascular ultrasound in the diagnosis of carotid stenosis, through comparing the sensitivity of cerebral angiogram and vascular ultrasound. Methods A total of 83 cases with carotid stenosis were diagnosed by cerebral angiogram and vascular ultrasound. Among them, there were 27 cases of moderate stenosis, 29 cases of severe stenosis, and 27 cases of carotid occlusion. The sensitivity of the two methods was compared. Results There were no statistically significant difference of sensitivity between cerebral angiogram and vascular ultrasound in the diagnosis of carotid stenosis（P〉0.05）. The difference of the sensitivity in the diagnosis of carotid occlusion between the two methods had statistical significance（P〈0.05）. Conclusion Application of vascular ultrasound in the diagnosis of carotid stenosis can replace cerebral angiogram in general conditions. However, the sensitivity of vascular ultrasound still has disadvantage in the diagnosis of patients with carotid occlusion.

关 键 词：脑血管造影 血管超声 颈动脉狭窄 敏感性 

分 类 号：R543.4[医药卫生—心血管疾病] R445.1[医药卫生—内科学]