中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2012年
6期
482-484
,共3页
沈小平%劳金伟%盛晓杰%沈惠英
瀋小平%勞金偉%盛曉傑%瀋惠英
침소평%로금위%성효걸%침혜영
超声检查,多普勒,彩色%脑梗死%动脉硬化
超聲檢查,多普勒,綵色%腦梗死%動脈硬化
초성검사,다보륵,채색%뇌경사%동맥경화
Color Doppler ultrasound%Infarction%Arteriosclerosis
目的 探讨彩色多普勒超声(CDFI)检查在诊断老年急性脑梗死患者颈动脉粥样硬化病变的临床价值.方法 将我院收治的60例急性脑梗死患者进行CDFI检查,观察颈总动脉、颈内动脉及颈外动脉颅外端血管内径及管腔狭窄程度；同时与数字减影血管造影(DSA)检查结果进行比较分析.结果 所有患者中超声诊断正常28例,闭塞及狭窄共32例,狭窄共25例,轻、中、重度狭窄分别为18、20、12条,闭塞7例,共14条.DSA检查正常29例,狭窄及闭塞共31例,狭窄共26例,轻、中、重度狭窄分别为18、16、18条,闭塞5例,共10条.将颈动脉彩色超声与DSA进行一致性检验,Kappa=0.786(P＜0.05).所有颈动脉血管以DSA检查为金标准,计算CDFI形态学及频谱测定诊断中重度狭窄情况,两者与DSA比较具有很高的准确性.结论 CDFI检查与DSA检查在评估颈动脉血管狭窄程度上具有较好的一致性,能够取代有创性DSA诊断中重度以上的狭窄.
目的 探討綵色多普勒超聲(CDFI)檢查在診斷老年急性腦梗死患者頸動脈粥樣硬化病變的臨床價值.方法 將我院收治的60例急性腦梗死患者進行CDFI檢查,觀察頸總動脈、頸內動脈及頸外動脈顱外耑血管內徑及管腔狹窄程度；同時與數字減影血管造影(DSA)檢查結果進行比較分析.結果 所有患者中超聲診斷正常28例,閉塞及狹窄共32例,狹窄共25例,輕、中、重度狹窄分彆為18、20、12條,閉塞7例,共14條.DSA檢查正常29例,狹窄及閉塞共31例,狹窄共26例,輕、中、重度狹窄分彆為18、16、18條,閉塞5例,共10條.將頸動脈綵色超聲與DSA進行一緻性檢驗,Kappa=0.786(P＜0.05).所有頸動脈血管以DSA檢查為金標準,計算CDFI形態學及頻譜測定診斷中重度狹窄情況,兩者與DSA比較具有很高的準確性.結論 CDFI檢查與DSA檢查在評估頸動脈血管狹窄程度上具有較好的一緻性,能夠取代有創性DSA診斷中重度以上的狹窄.
목적 탐토채색다보륵초성(CDFI)검사재진단노년급성뇌경사환자경동맥죽양경화병변적림상개치.방법 장아원수치적60례급성뇌경사환자진행CDFI검사,관찰경총동맥、경내동맥급경외동맥로외단혈관내경급관강협착정도；동시여수자감영혈관조영(DSA)검사결과진행비교분석.결과 소유환자중초성진단정상28례,폐새급협착공32례,협착공25례,경、중、중도협착분별위18、20、12조,폐새7례,공14조.DSA검사정상29례,협착급폐새공31례,협착공26례,경、중、중도협착분별위18、16、18조,폐새5례,공10조.장경동맥채색초성여DSA진행일치성검험,Kappa=0.786(P＜0.05).소유경동맥혈관이DSA검사위금표준,계산CDFI형태학급빈보측정진단중중도협착정황,량자여DSA비교구유흔고적준학성.결론 CDFI검사여DSA검사재평고경동맥혈관협착정도상구유교호적일치성,능구취대유창성DSA진단중중도이상적협착.
Objective To investigate the clinical value of color Doppler ultrasound (CDFI) in the diagnosis of carotid atherosclerosis lesion in patients with acute stroke.Methods Totally 60patients with acute cerebral infarction were examined with CDFI to observe vessel diameter and stenosis degree of common carotid artery,internal carotid artery and external carotid artery and the results were compared with digital subtraction angiography (DSA) test.Results Among 60patients,normal ultrasound diagnosis was in 28 cases,occlusion and stenosis in 32 cases,stenosis in 25 cases; mild,moderate and severe stenosis were in 18,20,12 vessels,occlusion in 7 cases,14vessels.DSA examination results showed normal in 29 cases,stenosis and occlusion in 31 cases,stenosis in 26 cases,mild,moderate and severe stenosis of the 18,16,18 vessels; occlusion in 5 cases,10 vessels.The consistency test results between carotid artery color Doppler ultrasound and DSA were Kappa=0.786,0.667(P＜0.05).All carotid DSA results were considered as gold standard,CDFI diagnosis of moderate to severe stenosis was in high accuracy compared with DSA.Conclusions CDFI in the diagnosis of different degrees of carotid stenosis is in good agreement with DSA diagnosis,and may replace invasive DSA diagnosis of moderate to severe stenosis.
