中国卫生标准管理
中國衛生標準管理
중국위생표준관리
China Health Standard Management
2015年
27期
167-168
,共2页
血管造影(DSA)%颈部血管彩超%动脉粥样斑块%脑梗死
血管造影(DSA)%頸部血管綵超%動脈粥樣斑塊%腦梗死
혈관조영(DSA)%경부혈관채초%동맥죽양반괴%뇌경사
Digital subtraction angiography(DSA)%Neck vascular color doppler ultrasound%Arterial therosclerotic plaque%Cerebral infarction
目的 观察DSA联合US在动脉粥样斑块与脑梗死关联性评估中的应用价值.方法 以我院2014年1~12月100例动脉粥样硬化性脑梗死患者作为观察组,同时选取100例未发生脑梗死的患者作为对照组,分别对两组患者行US与DSA检测,并对检测结果进行对比分析.结果 颈总动脉分叉处是颈动脉粥样硬化斑块发生的最主要部位,US检出26例(26.00%),DSA检出36例(36.00%),吻合率为72.22%;颈动脉中度狭窄的吻合率为75.00%,颈动脉重度狭窄的吻合率为88.88%;联合检查吻合率均高于其他部位.椎基底动脉粥样硬化斑块的发生部位由多至少分别为椎动脉起始段、双侧椎动脉以及基底动脉,US对椎基底动脉粥样硬化斑块的检出率较低,只适用于闭塞的椎动脉的判定.结论 DSA联合US检测可以准确地反映颈动脉粥样硬化斑块位置与狭窄程度,用于预防脑梗死.
目的 觀察DSA聯閤US在動脈粥樣斑塊與腦梗死關聯性評估中的應用價值.方法 以我院2014年1~12月100例動脈粥樣硬化性腦梗死患者作為觀察組,同時選取100例未髮生腦梗死的患者作為對照組,分彆對兩組患者行US與DSA檢測,併對檢測結果進行對比分析.結果 頸總動脈分扠處是頸動脈粥樣硬化斑塊髮生的最主要部位,US檢齣26例(26.00%),DSA檢齣36例(36.00%),吻閤率為72.22%;頸動脈中度狹窄的吻閤率為75.00%,頸動脈重度狹窄的吻閤率為88.88%;聯閤檢查吻閤率均高于其他部位.椎基底動脈粥樣硬化斑塊的髮生部位由多至少分彆為椎動脈起始段、雙側椎動脈以及基底動脈,US對椎基底動脈粥樣硬化斑塊的檢齣率較低,隻適用于閉塞的椎動脈的判定.結論 DSA聯閤US檢測可以準確地反映頸動脈粥樣硬化斑塊位置與狹窄程度,用于預防腦梗死.
목적 관찰DSA연합US재동맥죽양반괴여뇌경사관련성평고중적응용개치.방법 이아원2014년1~12월100례동맥죽양경화성뇌경사환자작위관찰조,동시선취100례미발생뇌경사적환자작위대조조,분별대량조환자행US여DSA검측,병대검측결과진행대비분석.결과 경총동맥분차처시경동맥죽양경화반괴발생적최주요부위,US검출26례(26.00%),DSA검출36례(36.00%),문합솔위72.22%;경동맥중도협착적문합솔위75.00%,경동맥중도협착적문합솔위88.88%;연합검사문합솔균고우기타부위.추기저동맥죽양경화반괴적발생부위유다지소분별위추동맥기시단、쌍측추동맥이급기저동맥,US대추기저동맥죽양경화반괴적검출솔교저,지괄용우폐새적추동맥적판정.결론 DSA연합US검측가이준학지반영경동맥죽양경화반괴위치여협착정도,용우예방뇌경사.
Objective To observe the application value of DSA combined with US in the assessment of the association between atherosclerotic plaques and cerebral infarction. Methods Selected 100 cases patients of atherosclerotic cerebral infarction in our hospital from January to December 2014 as the observation group,and 100 healthy volunteers were selected as the control group. Two groups of patients tested with DSA and US detection,and the detection results were compared and analyzed.Results The bifurcation of the common carotid artery was the main parts of the carotid atherosclerotic plaque,US detected in 26 cases(26%),digital subtraction angiography(DSA)were detected in 36 cases(36%),agreement rate was 72.22%. Carotid artery moderate stenosis of the coincidence rate was 75%,the carotid artery severe stenosis of anastomosis rate was 88.88%. Joint inspection coincidence rate were higher than that in other parts. The occurrence of vertebral basilar artery atherosclerotic plaque was the initial segment of vertebral artery, bilateral vertebral artery and basilar artery,and US can be used in the detection of vertebral basilar artery atherosclerotic plaque.Conclusion DSA combined with US detection can accurately reflect the location and extent of carotid atherosclerotic plaque,and can be used to prevent cerebral infarction.
