头颈部CTA检查在脑梗死血管狭窄中的诊断价值  

Diagnostic value of head and neck CTA for cerebral infarction stenosis

作　　者：张献文[1] 郑燎源[1] 段劲峰[1] 

机构地区：[1]四川省绵阳市中心医院,四川绵阳621000

出　　处：《影像研究与医学应用》2017年第7期17-18,共2页Journal of Imaging Research and Medical Applications

摘　　要：目的:探讨头颈部CTA检查在脑梗死血管狭窄中的诊断价值。方法:选择2016年2月至2017年6月本院收治的脑梗死后颈动脉狭窄者80例,按照随机数字法分为两组,各40例,对照组行血管多普勒超声及普通CT检查,观察组行CTA检查,对比两组颈动脉内膜中层厚度,以及发现大面积脑梗死及腔隙性脑梗死的比例。结果:观察组左颈总动脉内膜中层厚度、左内总动脉、右颈总动脉内膜中层厚度及右内总动脉内膜中层厚度大于对照组(P<0.05),观察组诊断颈部血管狭窄例数为36例,诊断率为90.0%,对照组诊断颈部血管狭窄例数为20例,诊断率为50.0%(P<0.05)。结论:针对脑梗死患者可能出现的颈动脉狭窄者,使用CTA检查能更好的提高颈动脉狭窄诊断率,更有效的指导临床治疗。Objective To investigate the diagnostic value of head and neck CTA for cerebral infarction. Methods 80cases with carotid artery stenosis were enrolled in our hospital from February 20 to June 2017 and they were randomly divided into two group. The control group were received vascular doppler ultrasonography and general CT, the observation group was examined by CTA, and the thickness of carotid intima-media and the ratio of large area cerebral infarction and lacunar infarction were found in both groups. Results The thickness of intima-media with the left common carotid artery, the thickness with the left common carotid artery; the carotid artery of the right common carotid artery and the intima-media thickness of the right internal carotid artery in the observation group were significantly higher than control group （P〈0.05）.The number of cases was 36 cases, the diagnosis rate was 90.0%, the control group diagnosed number was 20 cases, the diagnostic rate was 50.0% （P 〈0.05）. Conclusion CTA can be used to improve the diagnosis of carotid artery stenosis and to guide the clinical treatment, it has more effectively in patients with carotid artery stenosis which may occur in patients with cerebral infarction.

关 键 词：头颈部 动脉血管造影 脑梗死 血管狭窄 

分 类 号：R445[医药卫生—影像医学与核医学]