超声检查对心脑血管疾病患者颈动脉及锁骨下动脉血管病变的诊断价值  

Diagnostic value of ultrasonography to carotid and subclavian artery lesions in patients with cardiovascular and cerebrovascular diseases

作　　者：程静[1] 李燕[1] 周静[1] 曾燕荣[1] 王巨会 Cheng Jing;Li Yan;Zhou Jing;Zeng Yanrong;Wang Juhui(Department of Ultrasonography,Beijing Luhe Hospital,Capital Medical University,Beijing 101149,China;不详)

机构地区：[1]首都医科大学附属北京潞河医院超声科,北京101149 [2]首都医科大学附属北京潞河医院心内科,北京101149

出　　处：《中国循证心血管医学杂志》2021年第10期1247-1249,共3页Chinese Journal of Evidence-Based Cardiovascular Medicine

摘　　要：目的分析超声检查对心脑血管疾病患者颈动脉及锁骨下动脉血管病变的诊断价值,旨在为临床提供参考依据,以提高诊断准确率。方法选取首都医科大学附属北京潞河医院于2019年1月至2020年12月就诊时心脑血管疾病患者62例,行彩色多普勒超声(后续简称超声)与数字减影血管造影,分析颈动脉及锁骨下动脉血管病变的诊断结果,以数字减影血管造影检查结果为准,统计超声检查结果的符合率,同时评价其诊断价值,计算敏感度、特异度、阳性预测值、阴性预测值。结果颈动脉检查结果中,超声与数字减影血管造影检查一致52例,符合率83.87%;锁骨下动脉血管病变中,超声与数字减影血管造影检查一致50例,符合率80.65%。超声诊断颈动脉血管轻度狭窄的敏感度、特异度、阳性预测值、阴性预测值分别为57.14%、98.18%、80.00%、94.74%,中度狭窄分别为71.43%、95.83%、83.33%、92.00%,重度狭窄分别为92.00%、86.498%、82.148%、94.128%,闭塞分别为93.33%、95.74%、87.50%、97.83%;超声诊断锁骨下动脉血管轻度狭窄的敏感度、特异度、阳性预测值、阴性预测值分别为66.67%、91.49%、71.43%、89.58%,中度狭窄分别为40.00%、98.25%、66.67%、94.92%,重度狭窄分别为50.00%、100.00%、100.00%、98.36%,闭塞均为100.00%。结论超声检查对心脑血管疾病患者颈动脉及锁骨下动脉血管病变的诊断价值高,可为临床诊治提供重要参考依据,值得推广。Objective To analyze the diagnostic value of ultrasonography to carotid and subclavian artery lesions in patients with cardiovascular and cerebrovascular diseases,and provide reference evidence for clinical practice to improve diagnostic accuracy.Methods The patients with cardiovascular and cerebrovascular diseases(n=62)were chosen from Beijing Luhe Hospital affiliated to Capital Medical University from Jan.2019 to Dec.2020.All patients were given examinations of color Doppler ultrasound(Doppler)and digital subtraction angiography(DSA).The diagnosis results of carotid and subclavian artery lesions were analyzed.The coincidence rate of Doppler results was calculated based on DSA results.At the same time,the diagnostic value of Doppler was reviewed,and its sensitivity,specificity,positive predictive value(PPV)and negative predictive value(NPV)were calculated.Results The results of carotid artery examination showed that Doppler and DSA were consistent in 52 cases,and coincidence rate was 83.87%.The results of subclavian artery examination showed that Doppler and DSA were consistent in 50 cases,and coincidence rate was 80.65%.Doppler for diagnosing mild carotid artery stenosis showed that sensitivity was 57.14%,specificity was 98.18%,PPV was 80.00%and NPV was 94.74%,for diagnosing moderate carotid artery stenosis showed that sensitivity was 71.43%,specificity was 95.83%,PPV was 83.33%and NPV was 92.00%and for diagnosing severe carotid artery stenosis showed that sensitivity was 92.00%,specificity was 86.498%,PPV was 82.148%and NPV was 94.128%,and occlusion was 93.33%,95.74%,87.50%,and 97.83%respectively.Doppler for diagnosing mild subclavian artery stenosis showed that sensitivity was 66.67%,specificity was 91.49%,PPV was 71.43%and NPV was 89.58%,for diagnosing moderate subclavian artery stenosis showed that sensitivity was 40.00%,specificity was 98.25%,PPV was 66.67%and NPV was 94.92%and for diagnosing severe subclavian artery stenosis showed that sensitivity was 50.00%,specificity was 100.00%,PPV was 100.00%and NPV

关 键 词：超声检查 心脑血管病患者 颈动脉 锁骨下动脉 血管病变 诊断价值 

分 类 号：R541[医药卫生—心血管疾病]