血管超声与64排螺旋CT血管造影在评价颈动脉狭窄中的对比研究  

Comparison of Vascular Ultrasound and 64 Slice Spiral CT Angiography in the Evaluation of Carotid Artery Stenosis

作　　者：朴成浩[1] 谭力力[2] 尹华石 海洪勃 宋扬[1] 

机构地区：[1]沈阳医学院附属第二医院放射线科,辽宁沈阳110035 [2]沈阳医学院附属第二医院老年病科,辽宁沈阳110035

出　　处：《现代生物医学进展》2017年第3期523-525,共3页Progress in Modern Biomedicine

基　　金：沈阳医学院科技基金项目(20161003);沈阳市科技计划项目(F16-206-9-17)

摘　　要：目的:比较血管超声与64排螺旋CT血管造影(CTA)对颈动脉狭窄的诊断价值。方法:选取2014年12月到2015年12月我院收治的疑似颈动脉狭窄患者70例(278节段),所有患者入院1周内均行血管超声、64排螺旋CTA检查,以数字减影血管造影(DSA)为金标准,比较血管超声与64排螺旋CTA对颈动脉狭窄诊断的符合率、特异度和灵敏度。结果:血管超声和64排螺旋CTA对不同程度颈动脉狭窄诊断的符合率比较,差异均无统计学意义(P>0.05);血管超声和64排螺旋CTA对颈动脉狭窄诊断的灵敏度和特异度分别为87.28%、85.71%和85.55%、90.48%,比较差异无统计学意义(P>0.05)。结论:血管超声和64排螺旋CTA对颈动脉狭窄均具有较高的诊断价值。Objective： To compare the diagnosis value between vascular ultrasound and 64 slice spiral CT angiography（CTA）for carotid artery stenosis. Methods： 70 patients（278 segments） suspected with carotid artery stenosis were selected in our hospital from December 2014 to December 2015,all patients were underwent vascular ultrasound and 64 slice spiral CTA examination within 1 week after admissions,and set the digital subtraction angiography（DSA）as the gold standard,compared the coincidence rate,specificity and sensitivity of vascular ultrasound and 64 slice spiral CTA in the diagnosis of carotid artery stenosis. Results： The coincidence rate of vascular ultrasound and 64 slice spiral CTA had no significant in the diagnosis of different degree of carotid artery stenosis（P〉0.05）; The specificity and sensitivity of vascular ultrasound and 64 slice spiral CTA were 87.28%,85.71% vs 85.55%,90.48% in the diagnosis of carotid artery stenosis,the difference was not statistically significant（P〉0.05）. Conclusion： Both vascular ultrasound and 64 slice spiral CTA have highly diagnostic value in the diagnosis of carotid artery stenosis.

关 键 词：血管超声 64排螺旋CT血管造影 颈动脉狭窄 诊断 

分 类 号：R445[医药卫生—影像医学与核医学] R543.4[医药卫生—诊断学]