颈动脉超声与经颅多普勒超声联合检测缺血性脑卒中的临床价值评价

发布时间：2018-08-13 08:46

【摘要】：目的探讨颈动脉超声(CU)与经颅多普勒超声(TCD)联合检测缺血性脑卒中(CIS)的临床价值。方法比较130例CIS患者(实验组)和130例非CIS患者(对照组)颈动脉和颅内动脉管腔狭窄程度以及内中膜增厚情况、斑块检出情况、斑块特点以及3种方法诊断颈动脉和颅内动脉狭窄的灵敏度、特异性、准确率。结果实验组患者颈动脉和颅内动脉管腔狭窄程度明显高于对照组,内中膜增厚率明显高于对照组,有统计学差异(P0.05);实验组患者斑块检出率明显高于对照组且多发斑块所占比例明显高于对照组,有统计学差异(P0.05);实验组患者均质等回声所占比例明显低于对照组,不均质回声、形态不规则及溃疡所占比例明显高于对照组,有统计学差异(P0.05);脑缺血侧均质强回声和均质等回声所占比例明显低于非脑缺血侧,不均质回声、形态不规则以及溃疡所占比例明显高于非脑缺血侧,有统计学差异(P0.05);CU与TCD联合诊断颈动脉和颅内动脉狭窄的灵敏度、特异性、准确率均明显高于单纯CU或TCD诊断,有统计学差异(P0.05)。结论 CU与TCD联合诊断CIS准确率高,能够对颈动脉和颅内动脉狭窄以及斑块特点进行全面评估,为CIS鉴别和病情评估提供可靠依据。
[Abstract]:Objective to evaluate the clinical value of carotid (CU) combined with transcranial Doppler (TCD) (TCD) in detecting (CIS) in ischemic stroke. Methods the stenosis degree of carotid and intracranial arteries and the intima media thickening were compared in 130 CIS patients (experimental group) and 130 non-CIS patients (control group). The characteristics of plaque and the sensitivity, specificity and accuracy of three methods in the diagnosis of carotid and intracranial artery stenosis. Results the degree of stenosis of carotid and intracranial arteries in the experimental group was significantly higher than that in the control group, and the rate of medial thickening was significantly higher in the experimental group than in the control group. There was statistical difference (P0.05); the detection rate of plaque in the experimental group was significantly higher than that in the control group and the proportion of multiple plaques was significantly higher than that in the control group (P0.05); the proportion of homogeneous echo in the experimental group was significantly lower than that in the control group, and the proportion of heterogeneous echo was significantly lower than that in the control group. The proportion of irregular morphology and ulcer was significantly higher than that of control group (P0.05), the proportion of homogeneous and homogeneous echo in ischemic side was significantly lower than that in non-ischemic side, and the proportion of homogeneous echo was significantly lower than that in non-ischemic side, and the proportion of homogeneous echo in ischemic side was significantly lower than that in non-ischemic side. The proportion of irregular morphology and ulceration was significantly higher than that of non-ischemic side (P0.05) the sensitivity, specificity and accuracy of CU combined with TCD in the diagnosis of carotid and intracranial artery stenosis were significantly higher than those of CU or TCD alone. There was statistical difference (P0.05). Conclusion the accuracy of CU combined with TCD in the diagnosis of CIS is high. It can comprehensively evaluate carotid artery stenosis and intracranial artery stenosis and plaque characteristics and provide reliable basis for differential diagnosis and evaluation of CIS.
【作者单位】：柳州市工人医院;
【基金】：广西卫生厅课题(Z2015162)
【分类号】：R445.1;R743.3

【参考文献】