颈动脉CTA评价颈内动脉钙化斑块对脑卒中的临床价值  

Clinical Value of Carotid CTA in Evaluating Calcified Plaque of Internal Carotid Artery in Stroke

作　　者：郑欣 唐秋 周慧 赵一蓉[2] Zheng Xin;Tang Qiu;Zhou Hui;Zhao Yirong(Department of Radiology,Chongqing Tongnan Hospital of traditional Chinese Medical,Chongqing 402660;Department of Radiology,Chongqing Hospital of Traditional Chinese Medicine,Chongqing 400021)

机构地区：[1]重庆市潼南区中医院放射科,重庆402660 [2]重庆市中医院放射科,重庆400021

出　　处：《现代医用影像学》2024年第2期209-213,共5页Modern Medical Imageology

基　　金：重庆市科学技术委员会项目,项目名称:缺血性脑卒中“一站式CT成像”与中医辨证分型的相关性研究,项目编号:cstc2017jxjl130011。

摘　　要：目的:分析颈内动脉不同节段的钙化斑块和实验室数据与脑卒中的相关性。方法:回顾性分析了29例出血性脑卒中患者和40例缺血性脑卒中患者的颈动脉造影(CTA)图像,评判颈内动脉钙化斑块所处的节段,获取受检者的实验室数据,分析颈动脉斑块位置和实验室数据与脑卒中的相关性。结果:颈内动脉C5段的钙化斑块对于缺血性脑卒中组和出血性脑卒中组有统计学差异,k=6.711,P=0.009,其余位置的斑块无统计学差异;总胆汁酸水平在缺血性和出血性脑卒中组间存在统计学差异,t=3.57,P=0.0007,其余实验室数据无统计学差异。结论:颈内动脉C5段钙化斑块结合总胆汁酸水平,对于临床医师判断卒中性质有一定的指导意义。Objective:To analyze the correlation between the plaque of different segments of internal carotid artery and the laboratory data with stroke.Methods:The carotid angiography(CTA)images of 29 patients with hemorrhagic stroke and 40 patients with ischemic stroke were analyzed retrospectively.The segments of internal carotid artery plaque were evaluated.The laboratory data of subjects were obtained.The location of carotid plaque and the correlation between laboratory data and stroke were analyzed.Results:There was significant difference in the plaque of C5 segment of internal carotid artery between ischemic stroke group and hemorrhagic stroke group,k=6.711,P=0.009,and there was no significant difference in the plaque of other positions;The level of total bile acid was significantly different between ischemic and hemorrhagic stroke groups,t=3.57,P=0.0007.There was no significant difference in other laboratory data.Conclusion:The plaque of internal carotid artery C5 combined with total bile acid level has certain guiding significance for clinicians to judge the nature of stroke.

关 键 词：CT血管造影 脑卒中 斑块 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R816.1[医药卫生—临床医学]