彩色多普勒超声在颈部动脉病变检测中的价值分析  

Color doppler flow imaging （cdfi） in the neck artery lesion detection of value analysis

作　　者：贾贤达 冯金凤[1] 黄芝[1] 

机构地区：[1]宣化区河北北方学院附属第二医院,河北张家口075100

出　　处：《医药前沿》2015年第3期68-70,共3页Journal of Frontiers of Medicine

摘　　要：目的：探讨血管超声检查在颈动脉病变检测的准确性及对斑块易损性的评估，为临床诊治提供参考依据。方法：选取2013年10月至2014年10月我院收治的经数字剪影血管造影（DSA）明确诊断为颈动脉狭窄病变患者204例作为研究对象，对其进行颈部血管彩超多普勒超声（CDUS）检查，对比观察血管超声检查的准确性。结果：血管超声检查对颈动脉血管轻、中、重度狭窄及闭塞的灵敏性分别为45．O％、35．0％、47．6％及64．7％，特异性分别为96．6％、99．6％、99．5％及99．5％，准确率为94．4％、96．3％、96．9％及99．O％，与DSA检测结果比较，轻、中、重度狭窄的一致性一般，而对闭塞的一致性较高。结论：超声检查手段与DsA诊断结果一致性较好，并可对斑块易损性作出有效评估，在颈动脉狭窄的诊断中具有很高的临床价值。Objective The vascular ultrasound in cervical artery lesion detection accuracy and plaque vulnerability assessment, provide a reference basis for clinical diagnosis and therapy. Methods Selection in October 2013 to October 2014 were admitted by the digital silhouette angiography （DSA） in diagnosis of 204 patients with carotid artery stenosis disease as the research object, the neck vascular colour to exceed to doppler ultrasound （CDUS） examination, the accuracy of vascular ultrasound contrast observation. Results Vascular ultrasound examination of carotid artery sensitivity of light, medium and severe stenosis and occlusion were 45.0%, 35.0%, 47.6%, and 64.7%, specificity of 96.6%, 99.6%, 99.5% and 99.6% respectively, the accuracy rate was 94.4%, 96.3%, 96.9% and 99.0%, compared with the DSA examination, the light, medium and severe stenosis of consistency, and higher consistency of the block. Conclusions Consistency with the results of DSA in the diagnosis of ultrasound examination means good, and can make effective evaluation on plaque vulnerability, in the diagnosis of carotid artery stenosis has high clinical value.

关 键 词：血管超声检查 DSA 颈动脉病变 

分 类 号：R445.1[医药卫生—影像医学与核医学]