| 多层螺旋CT血管造影与数字减影血管造影在诊断缺血性脑血管病中的对比分析 |
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| 引用本文： | 张梅,余传庆,薛敏.多层螺旋CT血管造影与数字减影血管造影在诊断缺血性脑血管病中的对比分析[J].临床神经病学杂志,2009,22(4). |
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| 作者姓名： | 张梅 余传庆 薛敏 |
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| 作者单位： | 淮南市第一人民医院神经内科,232007 |
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| 摘 要： | 目的比较分析缺血性脑血管病(ICVD)多层螺旋CT脑血管造影(MSCTA)与数字减影血管造影(DSA)检查结果,以及颅内外血管病变与ICVD的关系。方法138例ICVD患者接受MSCTA检查,对其中发现血管病变的46例进行DSA检查,了解颅内外血管病变情况;并分析两种检查结果的一致性及其差异。结果两种检查结果均显示本组患者以颈动脉系统血管病变占优势,其中颈内动脉(ICA)病变所占比例最高(MSCTA:50/121,41.32%;DSA:18/56,32.14%),其次为颈总动脉(CCA)(MSCTA:27/121,22.31%;DSA:11/56,19.64%),椎-基底动脉系统病变较少。两种检查比较病变血管分布差异无统计学意义(均P>0.05)。血管狭窄程度:1级狭窄MSCTA明显多于DSA,2级、3级、4级狭窄则相反,差异有统计学意义(均P<0.001)。以DSA为金标准,本组MSCTA检查的灵敏度为91.07%,特异度为93.62%,阳性预测值(PPV)为94.44%,阴性预测值(NPV)为89.80%。结论ICVD患者大多存在颈动脉病变,颈动脉病变与ICVD密切相关;MSCTA与DSA检查结果有较高的...
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| 关 键 词： | 多层螺旋CT 血管造影术 数字减影 缺血性脑血管病 颈动脉 |
Contrastive analysis of multislice spiral CT angiography and DSA on diagnosing in patients with ischemic cerebrovascular disease |
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| ZHANG Mei,YU Chuan-qing,XUE Min.Contrastive analysis of multislice spiral CT angiography and DSA on diagnosing in patients with ischemic cerebrovascular disease[J].Journal of Clinical Neurology,2009,22(4). |
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| Authors: | ZHANG Mei YU Chuan-qing XUE Min |
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| Institution: | ZHANG Mei,YU Chuan-qing,XUE Min.Department of Neurology,the First Hospital of Huainan,Huainan 232007,China |
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| Abstract: | Objective To contrastive analysis of multislice spiral CT angiography(MSCTA) and digital subtraction angiography(DSA) on diagnosing in patients with ischemic cerebrovascular disease(ICVD) and the correlation between the intracranial and extracranial arteries damage and ICVD.Methods 138 patients with ICVD were examined by MSCTA,and 46 cases be fond obvious vascular lesion were performed DSA.The analysis was done to find consistency and difference of the results in MSCTA or DSA,and to inspect the pathogenetic... |
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| Keywords: | multislice spiral CT angiography digital subtraction ischemic cerebrovescular disease carotid |
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