医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2015年
3期
68-69,70
,共3页
血管超声检查%DSA%颈动脉病变
血管超聲檢查%DSA%頸動脈病變
혈관초성검사%DSA%경동맥병변
Vascular ultrasound examination%DSA%Carotid artery lesions
目的：探讨血管超声检查在颈动脉病变检测的准确性及对斑块易损性的评估，为临床诊治提供参考依据。方法：选取2013年10月至2014年10月我院收治的经数字剪影血管造影（DSA)明确诊断为颈动脉狭窄病变患者204例作为研究对象，对其进行颈部血管彩超多普勒超声（CDUS)检查，对比观察血管超声检查的准确性。结果：血管超声检查对颈动脉血管轻、中、重度狭窄及闭塞的灵敏性分别为45.0%、35.0%、47.6%及64.7%，特异性分别为96.6%、99.6%、99.5%及99.5%，准确率为94.4%、96.3%、96.9%及99.0%，与DSA检测结果比较，轻、中、重度狭窄的一致性一般，而对闭塞的一致性较高。结论：超声检查手段与DSA诊断结果一致性较好，并可对斑块易损性作出有效评估，在颈动脉狭窄的诊断中具有很高的临床价值。
目的：探討血管超聲檢查在頸動脈病變檢測的準確性及對斑塊易損性的評估，為臨床診治提供參攷依據。方法：選取2013年10月至2014年10月我院收治的經數字剪影血管造影（DSA)明確診斷為頸動脈狹窄病變患者204例作為研究對象，對其進行頸部血管綵超多普勒超聲（CDUS)檢查，對比觀察血管超聲檢查的準確性。結果：血管超聲檢查對頸動脈血管輕、中、重度狹窄及閉塞的靈敏性分彆為45.0%、35.0%、47.6%及64.7%，特異性分彆為96.6%、99.6%、99.5%及99.5%，準確率為94.4%、96.3%、96.9%及99.0%，與DSA檢測結果比較，輕、中、重度狹窄的一緻性一般，而對閉塞的一緻性較高。結論：超聲檢查手段與DSA診斷結果一緻性較好，併可對斑塊易損性作齣有效評估，在頸動脈狹窄的診斷中具有很高的臨床價值。
목적：탐토혈관초성검사재경동맥병변검측적준학성급대반괴역손성적평고，위림상진치제공삼고의거。방법：선취2013년10월지2014년10월아원수치적경수자전영혈관조영（DSA)명학진단위경동맥협착병변환자204례작위연구대상，대기진행경부혈관채초다보륵초성（CDUS)검사，대비관찰혈관초성검사적준학성。결과：혈관초성검사대경동맥혈관경、중、중도협착급폐새적령민성분별위45.0%、35.0%、47.6%급64.7%，특이성분별위96.6%、99.6%、99.5%급99.5%，준학솔위94.4%、96.3%、96.9%급99.0%，여DSA검측결과비교，경、중、중도협착적일치성일반，이대폐새적일치성교고。결론：초성검사수단여DSA진단결과일치성교호，병가대반괴역손성작출유효평고，재경동맥협착적진단중구유흔고적림상개치。
Objective The vascular ultrasound in cervical artery lesion detection accuracy and plaque vulnerability assessment, provide a reference basis for clinical diagnosis and therapy.Methods Selection in October 2013 to October 2014 were admitted by the digital silhouette angiography (DSA) in diagnosis of 204 patients with carotid artery stenosis disease as the research object, the neck vascular colour to exceed to doppler ultrasound (CDUS) examination, the accuracy of vascular ultrasound contrast observation.Results Vascular ultrasound examination of carotid artery sensitivity of light, medium and severe stenosis and occlusion were 45.0%, 35.0%, 47.6%, and 64.7%, specificity of 96.6%, 99.6%, 99.5% and 99.6% respectively, the accuracy rate was 94.4%, 96.3%, 96.9% and 99.0%, compared with the DSA examination, the light, medium and severe stenosis of consistency, and higher consistency of the block. Conclusions Consistency with the results of DSA in the diagnosis of ultrasound examination means good, and can make effective evaluation on plaque vulnerability, in the diagnosis of carotid artery stenosis has high clinical value.
