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缺血性脑血管病颅内动脉狭窄TCD、CTA与DSA检查的对比分析
引用本文:成江,杜彦辉,马斌武.缺血性脑血管病颅内动脉狭窄TCD、CTA与DSA检查的对比分析[J].宁夏医学杂志,2009,31(6):521-522.
作者姓名:成江  杜彦辉  马斌武
作者单位:1. 宁夏医科大学,宁夏,银川,750004
2. 宁夏医科大学附属医院,宁夏,银川,750004
摘    要:目的探讨经颅多普勒(TCD)、CT血管造影术(CTA)与数字减影血管造影术(DSA)在诊断颅内动脉狭窄的应用。方法连续选择已接受脑血管DSA检查的缺血性脑血管病患者133例,分析其术前TCD和脑血管CTA检查结果,并与DSA进行比较。结果经DSA检查1463支脑/颈动脉血管,存在狭窄或闭塞的动脉为254支,阳性率为17.4%;术前有594支脑/颈动脉血管接受TCD检查,存在狭窄或闭塞的血管中有54支与DSA检查相符,阳性率为9.1%;术前接受CTA检查的动脉血管有374支,提示存在狭窄或闭塞的有62支与DSA检查相符,阳性率为16.6%,TCD与DSA检查结果差异有统计学意义(u=4.754,P〈0.001),而CTA与DSA所检查的结果无统计学意义(u=0.3585,P〉0.05)。结论TCD检查结果受人为因素影响较大,如有接受良好训练的专业技术人员操作,其结果仍可作为颅内动脉狭窄诊断的重要参考。

关 键 词:经颅多普勒  CT血管成像  血管造影术

A comparative detection of TCD and CTA and DSA on cerebral artery stenosis in patients with ischemic cerebrovascular disease
CHENG Jiang,DU Yan-hui,MA Bin-wu.A comparative detection of TCD and CTA and DSA on cerebral artery stenosis in patients with ischemic cerebrovascular disease[J].Ningxia Medical Journal,2009,31(6):521-522.
Authors:CHENG Jiang  DU Yan-hui  MA Bin-wu
Institution:The Affiliated Hospital of Ningxia Medical University;Yinchuan 750004;China
Abstract:Objective To explore the reliability of trans-craninal Doppler(TCD) and computer tomography angiography(CTA) and digital subtraction angiography(DSA) in the diagnosis of cerebral artery stenosis.Methods Continuously choosing the patients with ischemic cerebra vascular disease analyzed and compared the results of TCD and CTA with DSA.Results 1463 cerebral / carotid arteries were examined by the DSA and analyzed the existence of stenosis or occlusion of the artery 254,the positive rate was17.4%.There are 594 ...
Keywords:Trans-craninal Doppler  Computer tomography angiography  Digital subtraction angiography  
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