颈部血管彩超联合CT血管造影对脑梗死颈动脉斑块病变的诊断价值分析  

Diagnostic Value of Carotid Ultrasound Combined with CT Angiography in Cerebral Infarction with Carotid Plaque Lesions

作　　者：陈专[1] 李书忠[2] CHEN Zhuan;LI Shu-zhong(Department of NeurologyⅡ,Henan Nanyang Oilfield General Hospital,Nanyou 473000,Henan Province,China;CT Room,Henan Nanyang Oilfield General Hospital,Nanyou 473000,Henan Province,China)

机构地区：[1]河南省南阳油田总医院神经内二科,河南南油473000 [2]河南省南阳油田总医院CT室,河南南油473000

出　　处：《罕少疾病杂志》2022年第10期16-17,30,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的本研究分析颈部血管彩超联合CT血管造影对脑梗死颈动脉斑块病变的诊断价值,为临床诊相关疾病的断及治疗提供参考。方法以本院2020年5月至2021年5月诊治的脑梗死颈动脉斑块病变患者为研究对象。80例患者均进行颈部血管彩超和CT血管造影检查,分析颈部血管彩超联合CT血管造影对患者颈动脉狭窄部位、程度及性质的检出情况。结果与颈部血管彩超和CT血管造影检查相比,颈部血管彩超联合CT血管造影对左侧狭窄、右侧狭窄及双侧狭窄的检出率均明显提高(P<0.05),对轻度狭窄、中度狭窄重度狭窄及闭塞的检出率均明显提高(P<0.05),对软斑块、硬斑块及混合斑块的检出率均明显提高(P<0.05)。结论颈部血管彩超联合CT血管造影对脑梗死颈动脉斑块病变有重要的诊断价值。Objective The purpose of this study was to analyze the diagnostic value of colorDoppler ultrasound combined with CT angiography in carotid plaque lesions of cerebral infarction.Methods The patients with cerebral infarction and carotid plaque lesions diagnosed and treated in our hospital from May 2020 to May 2021 were studied.All 80 patients underwent color Doppler ultrasonography and CT angiography.The location,degree and nature of carotid artery stenosis were detected by color Doppler ultrasound combined with CT angiography.Results Compared with color Doppler ultrasonography and CT angiography,the detection rate of left,right and bilateral stenosis by color Doppler ultrasonography combined with CT angiography was significantly higher(P<0.05).The detection rates of mild stenosis,moderate stenosis,severe stenosis and occlusion were significantly increased(P<0.05).The detection rates of soft plaque,hard plaque and mixed plaque were significantly increased(P<0.05).Conclusion Carotid color Doppler ultrasound combined with CT angiography has important diagnostic value in carotid plaque lesions of cerebral infarction.

关 键 词：血管彩超 CT血管造影 脑梗死 颈动脉斑块 诊断价值 

分 类 号：R445.3[医药卫生—影像医学与核医学]