颈部血管超声CT血管造影对检测颈动脉狭窄病变对比分析.docVIP

颈部血管超声CT血管造影对检测颈动脉狭窄病变对比分析 　　【摘要】 目的：对比分析颈部动脉超声（US）与CT血管造影（CTA）对颈动脉狭窄检测的临床价值。方法：选取2015年12月-2016年12月笔者所在医院收治的90例颈动脉狭窄病变患者，均进行US和CTA检测，并以数字减影血管造影（DSA）检测为金标准，对比分析两者对颈动脉狭窄检测的准确度、灵敏度、特异度等指标，以及与DSA检查结果的一致性。结果：超声检测准确度、灵敏度、特异度、漏诊率、误诊率分别为75.8%、80.5%、68.9%、19.5%、31.1%，阳性预测值、阴性预测值分别为51.2%、76.9%，一致性较差（K=0.31）；CTA检测的?嗜范取⒘槊舳取⑻匾於取⒙┱锫省⑽笳锫饰?82.5%、78.2%、80.1%、21.8%、19.9%，阳性预测值、阴性预测值分别为63.7%、76.2%，一致性不理想（K=0.36）。联合检查灵敏度明显提高，与DSA一致性中等（K=0.45）。结论：超声和CTA检测颈动脉狭窄病变和DSA一致性较差，而两者联合检测的灵敏度明显提高、漏诊率降低，且与DSA一致性较单一方法要高，对颈动脉狭窄的检测效能提升，但仍不能替代DSA。 　　【关键词】 颈动脉狭窄病变； 血管超声； CT血管造影； 数字减影血管造影 　　doi：10.14033/j.cnki.cfmr.2017.22.026 文献标识码 B 文章编号 1674-6805（2017）22-0052-03 　　Comparative Analysis of Cervical Vascular Ultrasonography and CT Angiography in the Detection of Carotid Artery Stenosis/Nulimangu?maimaiti，Patiguli?yimamu.//Chinese and Foreign Medical Research，2017，15（22）：52-54 　　【Abstract】 Objective：To compare the clinical value of carotid artery ultrasonography（US） and CT angiography（CTA） in detecting carotid artery stenosis.Method：90 patients with carotid artery stenosis were selected and treated with US and CTA from December 2015 to December 2016 and digital subtraction angiography（DSA） as the gold standard.The accuracy，sensitivity，specificity and other indicators of carotid artery stenosis were detected，and the DSA test results consistent.Result：The accuracy，sensitivity，specificity，missed diagnosis and misdiagnosis rate were 75.8%，80.5%，68.9%，19.5% and 31.1% respectively by carotid artery ultrasonography，and the positive predictive value and negative predictive value were 51.2% and 76.9% respectively，consistency was poor（K=0.31）.The accuracy，sensitivity，specificity，missed and misdiagnosis rate of CTA were 82.5%，78.2%，80.1%，21.8% and 19.9% ??respectively，and the positive predictive value and negative predictive value were 63.7% 76.2%，consistency was poor（K=0.36）.Joint sensitivity was significantly improved，consistent with DSA，moderate consistency（K=0.45）.Conclusion：Ultrasonography and CTA detect