| 缺血性脑血管病的DSA与B超诊断对比 |
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| 引用本文： | 王尚君,王济良,赵晓伟,杜平.缺血性脑血管病的DSA与B超诊断对比[J].中国实用医药,2010,5(3):49-50. |
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| 作者姓名： | 王尚君 王济良 赵晓伟 杜平 |
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| 作者单位： | 四川省南充市中心医院神经内科,637000 |
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| 摘 要： | 目的探讨缺血性脑血管病数字减影全脑血管造影（DSA）与B超检测颈动脉粥样硬化的优势。方法对80例缺血性脑血管病患者行DSA检查以及B超观察及对比评价颈动脉粥样硬化检出率的情况，分析影像结果与临床表现的相关性。结果DSA检出颅外颈动脉病变者69例（检出率86．67％），受累动脉132支，颈动脉狭窄伴斑块75支，颅内动脉狭窄32支，其他颅外动脉狭窄25支，颈动脉狭窄高于非颈动脉狭窄的发生率，不同受累动脉的狭窄程度分布：狭窄1级52支，2级41支，3级26支，4级13支。B超检出颈动脉狭窄（斑块）61例（检出率76．7％），CCA16例，BIF35例，ICA20例，管腔确定为管腔狭窄23例，管腔明显狭窄30例，血管完全闭塞8例。结论颈动脉粥样硬化病变在缺血性脑血管病的发生中起重要作用，利用DSA检查在缺血性脑血管病的诊断中有重要的应用价值，对比B超具有检查广泛性、确切性的优点。
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| 关 键 词： | 缺血性脑血管病 动脉粥样硬化 DSA B超 |
The diagnosis comparison between DSA and B-US for ischemic cerebrovascular disease |
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| WANG Shang-jun,WANG Ji-liang,ZHAO Xiao-wei,DU Ping.The diagnosis comparison between DSA and B-US for ischemic cerebrovascular disease[J].China Practical Medical,2010,5(3):49-50. |
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| Authors: | WANG Shang-jun WANG Ji-liang ZHAO Xiao-wei DU Ping |
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| Institution: | WANG Shangjun,WANG Ji-liang,ZHAO Xiao-wei,DU Ping. Department of Neurology,the Center Hospital of Nanchong City,Sichuan Province 637000,China |
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| Abstract: | Objective To discussthe advantage of using ischemic cerebrovascular disease cerebral digital subtraction angiography (DSA)to detect carotid atherosclerosis over B-US . Methods 80 cases of patients with ischemic cerebrovascular disease were inspected by both the DSA and B-US and the detection rate of carotid atherosclerosis was evaluated in order to analyze the relativity between the imaging results and clinical performance. Results DSA detected 69 cases (detection rate86. 67% ) of extracranial carotid arter... |
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| Keywords: | DSA |
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