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目的:探析颈动脉超声与血管造影在缺血性脑血管病中的临床价值。方法:选取该院2012年1月至2015年12月收治的196例缺血性脑血管病患者,均给予颈动脉超声检查,其中163例行DAS(数字减影血管造影)检查,分析两种检查方式对颈动脉斑块及狭窄情况的检测。结果:经两种方式检查后,96例中有158例患者检出颈动脉硬化,其检出率为80.61%;主要分布在颈动脉分叉处、颈总动脉、颈内动脉起始段及颈外动脉处。两种检查方式在颈动脉狭窄小于70%上的检出率差异(P>0.05);对于70%~99%的颈动脉狭窄检出率比较差异(P<0.05),两种检查方式对颈动脉斑块的检出率比较差异(P<0.05)。结论:脑血管病中颈动脉硬化比较常见,采取颈动脉超声检查能够在早期发现斑块,DSA是检查的金标准,在检查颈动脉狭窄中更有优势。
Objective: To explore the clinical value of carotid artery ultrasonography and angiography in ischemic cerebrovascular disease. Methods: One hundred and sixty-six patients with ischemic cerebrovascular disease admitted from January 2012 to December 2015 in our hospital were enrolled in this study. Carotid ultrasonography was performed in 163 patients. Among them, 163 were examined by DAS (digital subtraction angiography) Check the carotid plaque and stenosis detection. Results: After examining in two ways, carotid atherosclerosis was detected in 158 out of 96 cases, and the detection rate was 80.61%. It was mainly found in the bifurcation of carotid artery, common carotid artery and internal carotid artery, External carotid artery. The detection rate of carotid artery stenosis was less than 70% (P> 0.05). The detection rate of carotid artery stenosis was 70% ~ 99% (P <0.05) The detection rate of arterial plaque was different (P <0.05). Conclusions: Carotid atherosclerosis is common in cerebrovascular disease. Plaque can be detected early by carotid ultrasonography. DSA is the gold standard for examination, which is more advantageous in examining carotid artery stenosis.