CAJ | 학술논문

目的：研究与分析症状性颈动脉狭窄应用64排螺旋CT检查临床价值。方法将本院所收治的76例脑血管患者按照疾病类型分组为对照组与观察组，各38例。对照组为非缺血性脑血管疾病患者；观察组为缺血性脑血管疾病患者；2组患者均采用64排螺旋CT检查，并对2组患者双侧颈动脉斑块类型、狭窄程度进行评价与分析。结果经研究发现，观察组患者发生颈动脉狭窄率为78.95%(30/38)明显高于对照组36.84%(14/38)(P<0.05)；观察组各段血管主要以软斑为主，然对照组主要以硬斑为主。结论临床采用64排螺旋CT用于临床诊断可有效判断患者动脉内斑数量及性质，同时还可有效评估患者血管闭塞及狭窄情况。因此临床应用64排螺旋CT诊断症状性颈动脉狭窄具有极其重要的诊断价值，从而为临床治疗方案选择提供重要参考。
목적：연구여분석증상성경동맥협착응용64배라선CT검사림상개치。방법장본원소수치적76례뇌혈관환자안조질병류형분조위대조조여관찰조，각38례。대조조위비결혈성뇌혈관질병환자；관찰조위결혈성뇌혈관질병환자；2조환자균채용64배라선CT검사，병대2조환자쌍측경동맥반괴류형、협착정도진행평개여분석。결과경연구발현，관찰조환자발생경동맥협착솔위78.95%(30/38)명현고우대조조36.84%(14/38)(P<0.05)；관찰조각단혈관주요이연반위주，연대조조주요이경반위주。결론림상채용64배라선CT용우림상진단가유효판단환자동맥내반수량급성질，동시환가유효평고환자혈관폐새급협착정황。인차림상응용64배라선CT진단증상성경동맥협착구유겁기중요적진단개치，종이위림상치료방안선택제공중요삼고。
Objective Research and analysis the 64-slice spiral CT scan clinical value of symptomatic carotid stenosis.Methods The institutes will be admitted 76 cases of patients with cerebrovascular disease types grouped according to the control group and the observation group, 38 cases each. Patients with non-ischemic control group were cerebrovascular disease; observation group for patients were ischemic cerebrovascular disease; group 2 patients were treated with 64-slice spiral CT, and for two groups of patients with bilateral carotid artery plaque type, degree of stenosis evaluation and Analysis. Results The study found that patients with carotid artery stenosis observation group was 78.95% (30/38) significantly higher than 36.84% (14/38) (P<0.05); observation group segments vessels mainly in the soft spot based, However, in the control group mainly hard plaque based.Conclusion Patients with clinical use of 64-slice spiral CT vascular occlusion and stenosis can be effectively used in clinical diagnosis to determine the number and nature of plaque inside the arteries of patients, but also effectively assessed. Therefore, clinical application of 64-slice spiral CT in diagnosis of symptomatic carotid stenosis is extremely important diagnostic value, thus providing an important reference for clinical treatment options.