| 多层螺旋CT和彩色多普勒超声评价脑梗死患者颈动脉斑块 |
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| 引用本文： | 李炯佾,杨呈伟,冯沁,吴文辉,闫朝武,徐伟,张浩,宋会军,曹文娟,杨晶.多层螺旋CT和彩色多普勒超声评价脑梗死患者颈动脉斑块[J].中国医学影像技术,2010,26(10):1859-1863. |
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| 作者姓名： | 李炯佾 杨呈伟 冯沁 吴文辉 闫朝武 徐伟 张浩 宋会军 曹文娟 杨晶 |
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| 作者单位： | 1. 青岛阜外心血管病医院放射科,山东,青岛,266034
2. 中国医学科学院,北京协和医学院,阜外心血管病医院放射科,北京,100037 |
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| 基金项目： | 青岛市医药科研指导计划 |
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| 摘 要： | 目的 探讨多层螺旋CT血管成像(MSCTA)与彩色多普勒血流显像(CDFI)在评价脑梗死患者颈动脉粥样硬化病变中的价值.方法 对195例脑梗死患者在7天内行颈动脉CDFI和MSCTA检查.分别对颈动脉分叉部内-中膜厚度(IMT)/管壁厚度(CAWT)、斑块表面形态学特征、密度、体积进行分析,将病变分为管壁增厚、稳定斑块和易损斑块.结果 195例患者390处颈动脉分叉部血管纳入分析.MSCTA:正常血管71处(18.21%);CAWT增厚87处(22.31%);斑块232处(59.49%),其中稳定斑块140处(35.90%),易损斑块92处(23.59%)(包括溃疡型斑块5处).CDFI:正常血管80处(20.51%);IMT增厚86处(22.05%);斑块224处(57.44%),其中稳定斑块136处(34.87%),易损斑块88处(22.56%)(包括溃疡型斑块4处).MSCTA与CDFI对脑梗死患者颈动脉粥样硬化病变评价的一致性为72.60%(Kappa=0.63,P＜0.05).结论 MSCTA与CDFI对评价脑梗死患者颈动脉粥样硬化病变具有较好的一致性.颈动脉CDFI应作为首选检查,经CDFI检查存在血管病变者应常规接受MSCTA检查.
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| 关 键 词： | 动脉粥样硬化 颈动脉 体层摄影术 X线计算机 超声检查 多普勒 彩色 |
| 收稿时间： | 2010/4/30 0:00:00 |
| 修稿时间： | 7/4/2010 12:00:00 AM |
Multi-slice spiral CT and CDFI evaluation of carotid artery atherosclerostic plaques in patients with cerebral infarction |
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| LI Jiong-yi,YANG Cheng-wei,FENG Qin,WU Wen-hui,YAN Chao-wu,XU Wei,ZHANG Hao,SONG Hui-jun,CAO Wen-juan and YANG Jing.Multi-slice spiral CT and CDFI evaluation of carotid artery atherosclerostic plaques in patients with cerebral infarction[J].Chinese Journal of Medical Imaging Technology,2010,26(10):1859-1863. |
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| Authors: | LI Jiong-yi YANG Cheng-wei FENG Qin WU Wen-hui YAN Chao-wu XU Wei ZHANG Hao SONG Hui-jun CAO Wen-juan and YANG Jing |
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| Institution: | Department of Radiology, Qingdao Fuwai Cardiovascular Hospital, Qingdao 266034, China;Department of Radiology, Qingdao Fuwai Cardiovascular Hospital, Qingdao 266034, China;Department of Radiology, Qingdao Fuwai Cardiovascular Hospital, Qingdao 266034, China;Department of Radiology, Fuwai Hospital & Cardiovascular Institute, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100037, China;Department of Radiology, Fuwai Hospital & Cardiovascular Institute, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100037, China;Department of Radiology, Qingdao Fuwai Cardiovascular Hospital, Qingdao 266034, China;Department of Radiology, Qingdao Fuwai Cardiovascular Hospital, Qingdao 266034, China;Department of Radiology, Fuwai Hospital & Cardiovascular Institute, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100037, China;Department of Radiology, Qingdao Fuwai Cardiovascular Hospital, Qingdao 266034, China;Department of Radiology, Qingdao Fuwai Cardiovascular Hospital, Qingdao 266034, China |
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| Abstract: | |
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| Keywords: | Atherosclerosis Carotid arteries Tomography X-ray computed Ultrasonography Doppler color |
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