CAJ | 학술논문

目的:就40例脑血管病患者颈部血管超声及脑血管造影比较进行探讨.方法:选取笔者所在医院2011年1月-2012年6月收治的40例脑血管病患者分别进行脑血管造影(DSA)检查、颈动脉超声检查.结果:DSA 检查为颈内动脉病变血管20条、颈动脉分叉处斑块26处、颈总动脉病变血管6条.而颈部血管超声检查提示颈内动脉病变血管23条、颈动脉分叉处斑块28处、颈总动脉病变血管8条,二者吻合率分别为86.96%、92.86%、75%.结论:颈动脉斑块诊断的首选影像学检查应该是超声检查,尤其是 B 超.但如果脑血管病患者的血管病变严重,或者有条件的医院在对脑血管病患者进行了超声检查,还可以再进一步行 DSA 检查,以确保颈动脉斑块诊断的精度.
목적:취40례뇌혈관병환자경부혈관초성급뇌혈관조영비교진행탐토.방법:선취필자소재의원2011년1월-2012년6월수치적40례뇌혈관병환자분별진행뇌혈관조영(DSA)검사、경동맥초성검사.결과:DSA 검사위경내동맥병변혈관20조、경동맥분차처반괴26처、경총동맥병변혈관6조.이경부혈관초성검사제시경내동맥병변혈관23조、경동맥분차처반괴28처、경총동맥병변혈관8조,이자문합솔분별위86.96%、92.86%、75%.결론:경동맥반괴진단적수선영상학검사응해시초성검사,우기시 B 초.단여과뇌혈관병환자적혈관병변엄중,혹자유조건적의원재대뇌혈관병환자진행료초성검사,환가이재진일보행 DSA 검사,이학보경동맥반괴진단적정도.
Objective:40 cases of cerebrovascular disease in patients with neck vascular ultrasound and cerebral angiography of explore.Method:40 cases of patients with cerebrovascular disease admitted to a hospital from January 2011 to June 2012,23 males and 17 females;aged 33-83 years old, respectively,cerebral angiography(DSA)examination,carotid ultrasound inspection.Result:Bilateral DSA,respectively,of carotid arterial lesions in blood vessels 20,26 carotid bifurcation plaques,carotid artery lesion 6.Vascular ultrasound of the neck prompted the internal carotid artery lesion 23, 28 carotid bifurcation plaques,carotid artery lesion 8,the agreement rates were 86.96%,92.86%,75%.Conclusion:The choice for the diagnosis of carotid artery plaque imaging studies should be ultrasound,especially,B ultrasound.Cerebrovascular disease in patients with severe vascular lesions,or conditional hospital ultrasound examination of patients with cerebrovascular disease,can also further the DSA,to ensure the accuracy of the diagnosis of carotid artery plaque.