| 颈动脉超声与血管造影在缺血性脑血管病中的应用比较 |
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| 引用本文： | 秦鼎,李丰升,陈俊红. 颈动脉超声与血管造影在缺血性脑血管病中的应用比较[J]. 中国全科医学, 2010, 13(14): 1502-1504 |
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| 作者姓名： | 秦鼎 李丰升 陈俊红 |
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| 作者单位： | 北京京煤集团总医院神经内科,北京市,102300 |
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| 摘 要： | 目的 探讨颈动脉超声与脑血管造影在缺血性脑血管病中的应用价值.方法 对478例缺血性脑血管病患者行颈动脉超声检查,观察颈动脉粥样硬化程度,其中87例患者同期接受了数字减影血管造影(DSA)检查,比较两种方法对颈动脉狭窄及斑块的检测结果.结果 478例患者中,颈动脉超声检出颈动脉硬化病变397例,检出率为83.05%;检出颈动脉粥样硬化斑块332例(1 098块),斑块的主要分布部位依次为颈动脉分叉处(BIF)、颈总动脉(CCA)、颈内动脉(ICA)起始段及颈外动脉(ECA).对颅外颈动脉<70%的狭窄及闭塞的诊断,颈动脉超声与DSA两种方法的检出率间差异无统计学意义(P>0.05);对70%～99%的狭窄,两种方法的检出率间差异有统计学意义(P<0.05).两种方法对颅外颈动脉斑块的检出率间差异有统计学意义(P<0.05).结论 颈动脉超声对颅外颈动脉<70%的狭窄及闭塞的诊断与DSA相比无明显差异.但对≥70%的颈动脉狭窄诊断的准确率低于DSA,颈动脉超声对颅外颈动脉斑块的检出率高于DSA.彩色多普勒超声检测颈动脉粥样硬化斑块形成有重要价值.
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| 关 键 词： | 颈动脉超声 血管造影术,数字减影 缺血性脑血管病 |
Comparative Study on Application Value of Carotid Ultrasound and Angiography in Ischemic Cerebrovascular Disease |
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| QIN+Ding,LI+Feng-sheng,CHEN+Jun-hong. Comparative Study on Application Value of Carotid Ultrasound and Angiography in Ischemic Cerebrovascular Disease[J]. Chinese General Practice, 2010, 13(14): 1502-1504 |
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| Authors: | QIN+Ding LI+Feng-sheng CHEN+Jun-hong |
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| Affiliation: | QIN+Ding,LI+Feng-sheng,CHEN+Jun-hong.Department+of+Neurology,General+Hospital+of+Beijing+Mining+Group,Beijing+102300,China |
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| Abstract: | Objective To investigate the application value of Carotid Ultrasound and Angiography in ischemic cerebrovascular disease.Methods A total of 478 cases of ischemic cerebrovascular disease underwent carotid ultrasound to detect carotid atherosclerosis,among whom 87 cases underwent digital subtraction angiography (DSA).The results were compared between 2 groups.Results Carotid ultrasound detected out carotid atherosclerosis lesions in 397 patients (83.05%),carotid atherosclerosis plaques in 332 (1 098 plaques).... |
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| Keywords: | Carotid artery ultrasonography Angiography digital subtraction Ischemic cerebrovascular disease |
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