经颅多普勒超声与颈动脉超声联合诊断椎基底动脉狭窄的价值  

Diagnostic value of TCD combined with cau in vertebrobasilar artery stenosis

作　　者：王芳[1] 孙建明[1] 杨峰[1] 吴承龙[1] 毛樱[1] Wang Fang;Sun Jianming;Yang Feng;Wu Chenglong;Mao Ying(Special Examination Room of Shaoxing people's Hospital,Shaoxing 312000,China)

机构地区：[1]绍兴市人民医院特殊检查室,绍兴312000

出　　处：《中国临床保健杂志》2023年第1期123-125,共3页Chinese Journal of Clinical Healthcare

基　　金：浙江省医药卫生科研面上项目(2018KY169)。

摘　　要：目的 探讨椎基底动脉狭窄诊断中经颅多普勒超声(TCD)与颈动脉超声(CAU)联合应用的价值。方法 选取2018年1月到2020年6月绍兴市人民医院收治的115例疑似椎基底动脉狭窄患者作为研究对象进行回顾性分析,所有患者均进行TCD与CAU联合检查,以CT血管造影检查(CTA)作为金标准。对比2种检测方法的椎基底动脉狭窄位置、程度和诊断效能,为后续临床诊治提供有效依据。结果 TCD+CAU诊断的灵敏度为86.44%,特异度92.86%,符合率89.57%;TCD+CAU诊断和CTA诊断检出率差异无统计学意义(P=0.887);TCD+CAU诊断和CTA诊断一致性较高(Kappa=0.728 1)。结论 在临床疾病诊断中利用TCD与CAU联合诊断具有较高的敏感性和特异性,相对于其他检测方式,该检测方式的阳性准确率更高,可以有效的区分疾病的特点,可以作为椎基底动脉狭窄诊断的重要手段,可以为后续的疾病诊治提供有效依据,同时为了提升诊断的准确率,就要加强全面观察,将检测失误控制在一定范围中。Objective To explore the value of combined application of TCD and CAU in the diagnosis of vertebrobasilar artery stenosis.Methods One hundred and fifteen patients with suspected vertebrobasilar artery stenosis admitted in Shaoxing people’s Hospital from January 2018 to June 2020 were selected for retrospective analysis.All patients underwent a combined TCD and CAU examination, and CT angiography(CTA) was used as the gold standard.Comparison of the location, degree and diagnostic efficiency of the two detection methods of vertebrobasilar artery stenosis provides an effective basis for follow-up clinical diagnosis and treatment.Results The diagnostic sensitivity of TCD+CAU was 86.44%,the specificity was 92.86%,and the coincidence rate was 89.57%.The detection rate of TCD+CAU diagnosis and CTA diagnosis had no significant difference(P=0.887).TCD+CAU diagnosis is consistent with CTA diagnosis(Kappa=0.728 1).Conclusions The combined diagnosis of TCD and CAU in clinical disease diagnosis has higher sensitivity and specificity.Compared with other detection methods, this detection method has a higher positive accuracy rate, can effectively distinguish the characteristics of the disease, and can be used as a vertebral test method.An important method for the diagnosis of basilar artery stenosis can provide an effective basis for subsequent disease diagnosis and treatment.At the same time, in order to improve the accuracy of diagnosis, it is necessary to strengthen comprehensive observation and control detection errors within a certain range.

关 键 词：椎底动脉供血不足 超声检查 多普勒 经颅 颈动脉内膜中膜厚度 计算机体层摄影血管造影术 诊断技术和方法 

分 类 号：R445.1[医药卫生—影像医学与核医学] R743[医药卫生—诊断学]