CAJ | 학술논문

目的：探讨三维超声在颈动脉内膜剥脱术（CEA）前的应用价值。方法本研究患者来自我院自2012年1月～2014年6月间初步经二维超声筛查符合CEA术治疗，且预行手术治疗的30例患者。所有患者均完成三维超声成像重建。探讨其检查结果与应用价值。结果三维超声与二维超声成像在显示斑块的大小、形态、累及范围上可以提供相似的诊断信息，但在斑块的立体结构、表面形态上三维超声图像较之二维更清晰直观，在评价斑块的稳定性上三维超声明显优于二维超声。结论对行CEA术的患者术前进行颈动脉三维超声重建，可以有效显示斑块空间结构，评价斑块稳定性，提供客观信息和准确诊断，为术前选择治疗方式及最佳手术时机提供帮助。
목적：탐토삼유초성재경동맥내막박탈술（CEA）전적응용개치。방법본연구환자래자아원자2012년1월～2014년6월간초보경이유초성사사부합CEA술치료，차예행수술치료적30례환자。소유환자균완성삼유초성성상중건。탐토기검사결과여응용개치。결과삼유초성여이유초성성상재현시반괴적대소、형태、루급범위상가이제공상사적진단신식，단재반괴적입체결구、표면형태상삼유초성도상교지이유경청석직관，재평개반괴적은정성상삼유초성명현우우이유초성。결론대행CEA술적환자술전진행경동맥삼유초성중건，가이유효현시반괴공간결구，평개반괴은정성，제공객관신식화준학진단，위술전선택치료방식급최가수술시궤제공방조。
Objective Discusses the preoperative application of 3D ultrasound (3D-US) in patients before carotid endarterectomy (CEA). Methods 30 patients in our hospital deemed eligible for CEA after 2D-US from January 2012 to June 2014 were recruited in the study. 3D-US had been performed on all these patients. Results According to the results, although 2D and 3D-US provide similar diagnosis information in terms of size, shape, affecting area of the plaque, 3D was superior to 2D-US for displaying clearer images about the structure and surface texture of the plaque, which helped better evaluation the plaque stability. Conclusion The preoperative carotid 3D-US for patients to receive CEA can effectively determine the location and size of the plaque, evaluate the plaque stability, provide accurate diagnosis and help doctors choose the proper treatment method and optimal timing for the operation.