颈部血管超声与MSCT血管造影在评估急性脑梗死患者动脉系统中的应用价值  

The Value of Cervical Ultrasound and MSCT Angiography in the Evaluation of Arterial System in Patients with Acute Cerebral Infarction

作　　者：马文斌 欧志强 江虹虹 MA Wen-bin;OU Zhi-qiang;JIANG Hong-hong(Department of Functions,Shunde Hospital Affiliated to Guangzhou Medical University,Foshan 528315,Guangdong Pronvince,China;Department of Imaging,Guangzhou Red Cross Hospital,Guangzhou 510220,Guangdong Pronvince,China)

机构地区：[1]广州医科大学附属顺德医院功能科,广东佛山528315 [2]广州市红十字会医院影像科,广东广州510220

出　　处：《中国CT和MRI杂志》2021年第6期19-20,25,共3页Chinese Journal of CT and MRI

基　　金：广东省卫生和计划委员会科研计划项目(A2016165)。

摘　　要：目的旨在探讨颈部血管超声与MSCT血管造影在评估急性脑梗死患者动脉系统中的应用价值。方法选取我院2018年5月至2019年1月收治的急性脑梗死患者74例,收集74例患者临床资料及CVUS、SCTA资料,由两名影像科医师对其检查图像进行观察、总结,检查患者的颈动脉情况,内容主要包括检查左侧狭窄、右侧狭窄以及双侧狭窄的情况,对比CVUS、SCTA检查对狭窄、斑块的检出率。结果 CVUS、SCTA检查均检出53例患者出现颈动脉狭窄,SCTA颈动脉狭窄率(37.15%±12.36%),CVUS颈动脉狭窄率(35.85%±13.08%),两者颈动脉狭窄率比较差异无统计学意义(t=0.525,P=0.600);两种检查方式对血管狭窄程度诊断结果比较无明显差异(χ^(2)=2.800,P=0.424);SCTA检查总检出41例患者存在64个斑块,检出率55.40%;CVUS检查总检出57例患者存在85个斑块,检出率77.02%,CVUS检查斑块率高于SCTA检查,差异有统计学意义(χ^(2)=7.732,P=0.005)。结论颈部血管超声与MSCT血管造影均可有效评估急性脑梗死患者颈动脉狭窄情况,MSCT血管造影对急性脑梗死患者颈动脉斑块检出率更高。Objective To investigate the value of cervical ultrasound and MSCT angiography in evaluating of arterial system in patients with acute cerebral infarction.Methods select from 74 patients with acute cerebral infarction treated in our hospital from May 2018 to January 2019.The clinical data and CVUS and SCTA data of 74 patients were collected.Two radiologists observed and summarized the examination images,and the carotid artery was examined.The main contents included examinating left stenosis,right stenosis,and bilateral stenosis,and the detection rate of stenosis and plaque by CVUS and SCTA.Results Carotid artery stenosis was found in 53 patients by CVUS and SCTA.The carotid artery stenosis rate of SCTA was(37.15%±12.36%),CVUS(35.85%±13.08%).There was no significant difference in the rate of carotid artery stenosis between the two methods(t=0.525,P=0.600).There was no significant difference between the two methods in the diagnosis of vascular stenosis(χ^(2)=2.800,P<0.424),and there was no significant difference in the rate of carotid artery stenosis between the two methods(P>0.05).There was no significant difference in the degree of carotid stenosis between the two methods(χ^(2)=2.800,P<0.424).SCTA showed that there were 64 plaques in 41 patients,and the detection rate was 55.40%.The detection rate of 85 plaques in 57 patients was 77.02%.The plaque rate of CVUS was higher than that of SCTA,and the difference was statistically significant(χ^(2)=7.732,P<0.005).Conclusion Cervical ult rasound and MSCT angiogra phy ca n effectively evaluate ca rotid a rtery stenosis in patients with acute cerebral infarction.MSCT angiography has a higher detection rate of carotid plaques in patients with acute cerebral infa rction.

关 键 词：颈部血管超声 MSCT血管造影 急性脑梗死 动脉系统 应用价值 

分 类 号：R445.1[医药卫生—影像医学与核医学] R445.3[医药卫生—诊断学]