超微血管成像评价颈动脉斑块内新生血管  

Superb microvascular imaging in evaluation of neovascularization in carotid atherosclerotic plaque

作　　者：程令刚[1] 何文[1] 张红霞[1] 蔡文佳[1] 宁彬[1] 田凤兰[1] 

机构地区：[1]首都医科大学附属北京天坛医院超声科,北京100050

出　　处：《中国医学影像技术》2015年第5期647-650,共4页Chinese Journal of Medical Imaging Technology

摘　　要：目的探讨超微血管成像(SMI)评价颈动脉斑块内新生血管的价值。方法随机选取颈动脉粥样硬化斑块患者57例,所有患者均接受常规超声及SMI,其中33例接受CEUS检查,13例接受颈动脉斑块内膜剥脱术(CEA)获得病理结果。评价SMI结果与CEUS及病理结果的一致性。结果 SMI显示斑块内新生血管评分0分11例,1分22例,2分24例。CEUS结果显示新生血管评分0分5例,1分8例,2分20例,SMI与CEUS评分有较好的一致性(Kappa=0.607,P<0.001)。病理检查显示斑块内新生血管评分0分2例,1分5例,2分6例,与SMI有较好的相关性(r=0.75)。结论 SMI可显示斑块内新生血管,对评价颈动脉斑块内新生血管具有重要参考价值。Objective To investigate the value of superb microvascular imaging （SMI） in evaluation of the neovasculariza- tion in carotid atheroselerotic plaque. Methods Totally 57 patients with carotid atheroselerotie plaque underwent SMI, and 33 patients of them accepted CEUS, 13 patients of them were operated of carotid endarterectomy （CEA）. Result of SMI were compared with the result of CEUS and pathology. Results The score of 11 patients about neovaseularization in carotid atherosclerotic plaque were 0, 22 patients were 1, 24 patients were 2 by SMI. The score of 5 patients about neovas- cularization in carotid atheroselerotic plaque evaluated by CEUS were 0, 8 patients were 1, 20 patients were 2, which had good consistance between SMI and CEUS （Kappa=0. 607, P〈0. 001）. The score of 2 patients about neovascularization in carotid atherosclerotic plaque evaluated by pathology were 0, 5 patients were 1, 6 patients were 2 by pathology. The result of SMI had good correlation with pathology （r = 0.75）. Conclusion SMI can evaluate the neovascularization in carotid atherosclerotic plaques, which has great value in evaluating it.

关 键 词：动脉粥样硬化 超声检查 超微血管成像 新生血管 

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