中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2009年
4期
415-417
,共3页
徐龙健%孙敬国%高建超%周宝臣
徐龍健%孫敬國%高建超%週寶臣
서룡건%손경국%고건초%주보신
彩色多普勒超声%CT动脉造影%数字减影动脉造影%下肢动脉硬化闭塞症%诊断
綵色多普勒超聲%CT動脈造影%數字減影動脈造影%下肢動脈硬化閉塞癥%診斷
채색다보륵초성%CT동맥조영%수자감영동맥조영%하지동맥경화폐새증%진단
Color doppler ultrasound%Computed tomographie angiography%Digital subtraction angiography%Arteriosclerosis occlusion%Diagnosis
目的 评价彩色多普勒超声及CT动脉造影共同诊断下肢动脉硬化闭塞症的有效性.方法 回顾性研究43例下肢动脉硬化闭塞症患者,均分别应用彩色多普勒超声、CT动脉造影及数字减影动脉造影进行诊断.以数字减影动脉造影结果为金标准,将前2种检查结果与之进行对比分析.结果 彩色多普勒超声诊断下肢动脉硬化闭塞症敏感性、特异性、阳性预测值、阴性预测值分别为82.96%、95.2%、94.92%、83.8%;CT动脉造影诊断下肢动脉硬化闭塞症敏感性、特异性、阳性预测值、阴性预测值分别为88.89%、96.75%、96.77%、88.81%,两者联合诊断下肢动脉硬化闭塞症敏感性、特异性、阳性预测值、阴性预测值分别为94.81%、99.17%、99.22%、94.44%.结论 彩色多普勒超声联合CT动脉造影检查是诊断下肢动脉硬化闭塞症的有效方法.
目的 評價綵色多普勒超聲及CT動脈造影共同診斷下肢動脈硬化閉塞癥的有效性.方法 迴顧性研究43例下肢動脈硬化閉塞癥患者,均分彆應用綵色多普勒超聲、CT動脈造影及數字減影動脈造影進行診斷.以數字減影動脈造影結果為金標準,將前2種檢查結果與之進行對比分析.結果 綵色多普勒超聲診斷下肢動脈硬化閉塞癥敏感性、特異性、暘性預測值、陰性預測值分彆為82.96%、95.2%、94.92%、83.8%;CT動脈造影診斷下肢動脈硬化閉塞癥敏感性、特異性、暘性預測值、陰性預測值分彆為88.89%、96.75%、96.77%、88.81%,兩者聯閤診斷下肢動脈硬化閉塞癥敏感性、特異性、暘性預測值、陰性預測值分彆為94.81%、99.17%、99.22%、94.44%.結論 綵色多普勒超聲聯閤CT動脈造影檢查是診斷下肢動脈硬化閉塞癥的有效方法.
목적 평개채색다보륵초성급CT동맥조영공동진단하지동맥경화폐새증적유효성.방법 회고성연구43례하지동맥경화폐새증환자,균분별응용채색다보륵초성、CT동맥조영급수자감영동맥조영진행진단.이수자감영동맥조영결과위금표준,장전2충검사결과여지진행대비분석.결과 채색다보륵초성진단하지동맥경화폐새증민감성、특이성、양성예측치、음성예측치분별위82.96%、95.2%、94.92%、83.8%;CT동맥조영진단하지동맥경화폐새증민감성、특이성、양성예측치、음성예측치분별위88.89%、96.75%、96.77%、88.81%,량자연합진단하지동맥경화폐새증민감성、특이성、양성예측치、음성예측치분별위94.81%、99.17%、99.22%、94.44%.결론 채색다보륵초성연합CT동맥조영검사시진단하지동맥경화폐새증적유효방법.
Objective To evaluate the effectiveness of color doppler ultrasound(CDU)in combination of computed tomographie angiography(CTA)in diagnosis of the arteriosclerosis occlusion.Methods:43 patients with arteriosclerosis occlusion were assessed by color doppler ultrasound,CTA and digital subtraction angiography(DSA).By using DSA as the reference standard,the results were compared.Results The sensitivity.specificity,positive and negative predictive values for CDU were 82.96%,95.2%,94.92%,83.8% respectively.Those for CTA were 88.89%,96.75%,96.77%,88.81% respectively,and for the two combination,were 94.81%,99.17%,99.22%,94.44% respectively.Conclusion The color doppler ultrasound combined with CTA is an effective way in diagnosing arteriosclerosis occlusion.
