超微血管成像对颈动脉斑块内新生血管的诊断价值

发布时间：2018-03-14 13:12

本文选题：超微血管成像技术　切入点：超声造影　出处：《中国老年学杂志》2017年23期 　论文类型：期刊论文

【摘要】：目的对比超微血管成像(SMI)和超声造影(CEUS)对颈动脉斑块内血管的诊断价值。方法选取50例颈动脉斑块患者,以CEUS的结果作为参考标准,分别使用SMI和CEUS进行斑块处血管检测,分析不同回声斑块SMI评分,并对比SMI和CEUS对颈动脉斑块内血管的显示能力。结果 SMI检查50例患者共有70个斑块,其中13个低回声、41个等回声和16个混合回声;颈总动脉分叉处41个、颈总动脉中段17个、颈内动脉12个。使用SMI和CEUS对斑块内强回声进行评级,二者无统计学差异(P0.05),SMI具有较好的诊断准确性。结论 SMI技术可以清晰呈现颈动脉斑块内血管的新生和分布情况,可以对斑块的稳定性做出准确评价,而且操作简单方便,安全无创。
[Abstract]:Objective to compare the diagnostic value of CEUS and contrast-enhanced ultrasound (CEUs) in the diagnosis of carotid plaque. Methods 50 patients with carotid plaque were examined by SMI and CEUS according to the results of CEUS. The SMI scores of different echo plaques were analyzed, and the ability of SMI and CEUS to display carotid artery plaques was compared. Results there were 70 plaques in 50 patients examined by SMI, including 13 hypoechoic plaques, 41 isoechoic plaques and 16 mixed echoes. There were 41 common carotid artery branches, 17 common carotid artery middle segments, and 12 internal carotid arteries. SMI and CEUS were used to rate the strong echo of plaque. There is no statistical difference between the two methods. Conclusion SMI technique can clearly present the angiogenesis and distribution of carotid plaques, and the stability of carotid plaques can be evaluated accurately, and the operation is simple and convenient. Safety is noninvasive.
【作者单位】：河北省人民医院超声科;河北省直属机关第一门诊部;
【分类号】：R445.1;R543.4

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