CAJ | 학술논문

目的：探讨TCD临床诊断前循环动脉狭窄的准确性。方法本研究分析急性脑梗死患者入院后完成TCD并经CTA进一步检查颅内动脉情况的患者。对急性脑梗死存在前循环动脉狭窄患者对比TCD与CTA检查的符合率。结果前循环动脉狭窄检测对比结果为TCD与CTA符合率较高，二者无统计学差异。TCD检测MCA准确性最高，重度及中度等级MCA狭窄诊断准确性较轻度等级狭窄高。结论1、TCD与CTA检测前循环动脉狭窄符合率较高、无统计学差异。2、TCD诊断MCA狭窄准确率最高。3、重度及中度等级MCA狭窄诊断准确性较轻度等级狭窄高。
목적：탐토TCD림상진단전순배동맥협착적준학성。방법본연구분석급성뇌경사환자입원후완성TCD병경CTA진일보검사로내동맥정황적환자。대급성뇌경사존재전순배동맥협착환자대비TCD여CTA검사적부합솔。결과전순배동맥협착검측대비결과위TCD여CTA부합솔교고，이자무통계학차이。TCD검측MCA준학성최고，중도급중도등급MCA협착진단준학성교경도등급협착고。결론1、TCD여CTA검측전순배동맥협착부합솔교고、무통계학차이。2、TCD진단MCA협착준학솔최고。3、중도급중도등급MCA협착진단준학성교경도등급협착고。
Objective To explore the reliability of TCD in the diagnosis of anterior circulation stenosis.Methods Acute cerebral infarction patients who met the inclusion criteria as well as received TCD and CTA inspection were recruited. The test results of TCD and CTA were compared.Results TCD testing corresponding anterior circulation stenosis is not statistically different witrh CTA, they have a good consistency. The accuracy of TCD in testing the MCA blood vessels is the highest. The coincidence rate of TCD in diagnosing moderate and severe MCA stenosis was higher than that of mild stenosis.Conclusions 1. For the diagnosis of anterior circulation stenosis, TCD and CTA results are no statistically different. 2. The accuracy and sensitivity of TCD is the highest applying on MCA. 3. The coincidence rate of TCD in diagnosing moderate and severe MCA stenosis was higher than that of mild stenosis.