超声检查对锁骨下动脉狭窄合并椎动脉狭窄程度及盗血类型的诊断情况  

Ultrasonography in diagnosing the degree of subclavian artery stenosis combined with vertebral artery stenosis and type of blood stealing

作　　者：张汉标 陶阳[1] 林琳 袁汝亮[1] 邓镇生 Zhang Hanbiao;Tao Yang;Lin Lin;Yuan Ruliang;Deng Zhensheng(Department of Function,Sanya Central Hospital(Hainan Third People's Hospital),Sanya 572000,Hainan,China;Department of Vascular Surgery,Sanya Central Hospital(Hainan Third People's Hospital),Sanya 572000,Hainan,China)

机构地区：[1]三亚中心医院(海南省第三人民医院)功能科,海南三亚572000 [2]三亚中心医院(海南省第三人民医院)血管外科,海南三亚572000

出　　处：《血管与腔内血管外科杂志》2022年第3期363-366,共4页Journal of Vascular and Endovascular Surgery

摘　　要：目的探讨超声检查对锁骨下动脉狭窄合并椎动脉狭窄程度及盗血类型的诊断情况。方法收集2018年4月至2020年6月三亚中心医院(海南省第三人民医院)收治的132例锁骨下动脉狭窄合并椎动脉狭窄患者的临床资料,所有患者均行数字减影血管造影(DSA)和超声检查,以DSA检查为“金标准”。观察超声检查下锁骨下动脉狭窄合并椎动脉狭窄程度及盗血类型;根据受试者操作特征(ROC)曲线确定超声检查对锁骨下动脉狭窄合并椎动脉狭窄程度和盗血类型的诊断效能。结果132例锁骨下动脉狭窄合并椎动脉狭窄患者均经DSA检查确诊,超声检查最终确诊126例,诊断符合率为95.5%,其中,轻度狭窄准确度为96.1%,中度狭窄准确度为95.1%,重度狭窄准确度为93.3%;隐匿型盗血准确度为96.9%,部分型盗血准确度为88.2%,完全型盗血准确度为94.7%。结论超声检查对锁骨下动脉狭窄合并椎动脉狭窄具有较高的检出率,同时能确定其狭窄程度及盗血类型,筛查灵敏度较高,值得推广应用。Objective To investigate the diagnostic of ultrasonography in the degree of subclavian artery stenosis combined with vertebral artery stenosis and type of blood stealing.Method The clinical data of 132 patients with subclavian artery stenosis and vertebral artery stenosis treated in Sanya Central Hospital(Hainan Third People's Hospital)from April 2018 to June 2020 were selected.All were diagnosed by digital subtraction angiography(DSA)(gold standard)and ultrasonography.The stenosis degree of subclavian artery and vertebral artery and the type of blood stealing were evaluated;the diagnostic efficiency of ultrasonography for the degree of subclavian artery stenosis combined with vertebral artery stenosis and type of blood stealing was assessed by receiver operating characteristic(ROC).Result A total of 132 patients with subclavian artery stenosis combined with vertebral artery stenosis were confirmed by DSA examination,126 patients were finally confirmed by ultrasound examination with diagnostic coincidence rate of 95.5%,among which the accuracy of mild stenosis was 96.1%,the accuracy of moderate stenosis was 95.1%and the accuracy of severe stenosis was 93.3%.The accuracy of concealed blood theft was 96.9%,partial blood theft 88.2%,and complete blood theft 94.7%.Conclusion Ultrasonography has higher detection rate in patients with subclavian artery stenosis combined with vertebral artery stenosis.At the same time,it can determine the degree of subclavian artery stenosis combined with vertebral artery stenosis and type of blood stealing.The screening sensitivity is high,which is worthy of popularization and application.

关 键 词：超声 锁骨下动脉狭窄 椎动脉狭窄 盗血类型 

分 类 号：R543[医药卫生—心血管疾病]