64排螺旋CT对症状性颈动脉狭窄的临床诊断价值研究  

Value of 64-slice Spiral CT Diagnosis of Symptomatic Carotid Stenosis

作　　者：崔庆周 郭宏强[2] 

机构地区：[1]河南省漯河医专第一附属医院放射科,河南漯河462000 [2]郑州大学附属肿瘤医院(河南省肿瘤医院),河南郑州450008

出　　处：《中国CT和MRI杂志》2015年第6期16-18,共3页Chinese Journal of CT and MRI

基　　金：国家自然科学基金341100531005

摘　　要：目的研究与分析症状性颈动脉狭窄应用64排螺旋CT检查临床价值。方法将本院所收治的76例脑血管患者按照疾病类型分组为对照组与观察组,各38例。对照组为非缺血性脑血管疾病患者;观察组为缺血性脑血管疾病患者;2组患者均采用64排螺旋CT检查,并对2组患者双侧颈动脉斑块类型、狭窄程度进行评价与分析。结果经研究发现,观察组患者发生颈动脉狭窄率为78.95%(30/38)明显高于对照组36.84%(14/38)(P<0.05);观察组各段血管主要以软斑为主,然对照组主要以硬斑为主。结论临床采用64排螺旋CT用于临床诊断可有效判断患者动脉内斑数量及性质,同时还可有效评估患者血管闭塞及狭窄情况。因此临床应用64排螺旋CT诊断症状性颈动脉狭窄具有极其重要的诊断价值,从而为临床治疗方案选择提供重要参考。Objective Research and analysis the 64-slice spiral CT scan clinical value of symptomatic carotid stenosis.Methods The institutes will be admitted 76 cases of patients with cerebrovascular disease types grouped according to the control group and the observation group, 38 cases each. Patients with non-ischemic control group were cerebrovascular disease; observation group for patients were ischemic cerebrovascular disease; group 2 patients were treated with 64-slice spiral CT, and for two groups of patients with bilateral carotid artery plaque type, degree of stenosis evaluation and Analysis. Results The study found that patients with carotid artery stenosis observation group was 78.95% （30/38） significantly higher than 36.84% （14/38） （P＆lt;0.05）; observation group segments vessels mainly in the soft spot based, However, in the control group mainly hard plaque based.Conclusion Patients with clinical use of 64-slice spiral CT vascular occlusion and stenosis can be effectively used in clinical diagnosis to determine the number and nature of plaque inside the arteries of patients, but also effectively assessed. Therefore, clinical application of 64-slice spiral CT in diagnosis of symptomatic carotid stenosis is extremely important diagnostic value, thus providing an important reference for clinical treatment options.

关 键 词：颈动脉狭窄 螺旋CT 诊断 

分 类 号：R543.4[医药卫生—心血管疾病] R445.3[医药卫生—内科学]