缺血性脑血管病中颈动脉超声与数字减影血管造影-中国医学前沿杂志.PDF

46 ● 临床研究 ● 《中国医学前沿杂志 （电子版）》2014 年第 6 卷第 3 期 缺血性脑血管病中颈动脉超声与数字 减影血管造影临床应用比较 刘楠，周柏玉，王静，刘小辉，孟清琳 （中国人民解放军第 451 医院　神经内科，西安　710054 ） 【摘要】目的　探究在缺血性脑血管病患者中颈动脉超声与数字减影血管造影 （DSA ）临床应用的优劣。 方法　截取本院2009 年 3 月至 2012 年 1 月共 420 例患者分为超声组及 DSA 组，对比两组患者间临 床资料差异性。结果　超声组斑块检查率较 DSA 组高 27.76%，颈动脉狭窄≥70% 患者检出率 DSA P 组较超声组高 15.43%，差异具有显著性 （ ＜ 0.01）。420 例患者共检查出动脉硬化 339 例，检出率为 80.71%，病变左侧较右侧多，颈动脉分叉处 （BIF ）占47.74%，扁平斑占49.71% 。结论　颈动脉硬化 在脑血管疾病患者中多见，行颈动脉检查可早期发现斑块，DSA 为检查金标准，在颈动脉高度狭窄患 者中检查更具优势。 【关键词】脑血管疾病 ；缺血性 ；超声 ；数字减影血管造影 ； Comparison of clinical application in ischemic cerebral vascular disease between carotid artery ultrasound and DSA LIU Nan, ZHOU Bai-yu, WANG Jing, LIU Xiao-hui, MENG Qing-lin (Department of Neurology, Peoples Liberation Army 451 Hospital, Xi’an 710054, China) Corresponding author: LIU Nan E-mail: nanliuliu@163.com Abstract Objective To explore the advantages of carotid artery ultrasound and DSA in ischemic cerebral 【 】 　 vascular disease. Method　420 patients from March, 2009 to January, 2012 in our hospital were divided into ultrasound and DSA group. The clinical data differences between the two groups were compared. Results　The plaque screening rates of ultrasound group was 27.76% higher than that of DSA group. The inspection rate of carotid artery stenosis ≥70% patients in DSA group was 15.43% higher than that in ultrasound group. Statistical analysis of the above differences indicated that (P ＜0.01). 339 patients were diagnosed as atherosclerosis in 420 patients, with 80.71% detection rate. Pathological changes in the left were more than those in the right. BIF accounted for 47.74%, the flat plaques accounted for 49.71%. Conclusion　Carotid atherosclerosis is more common in patients with cerebrovascular disease. Carotid inspection can detect plaques as early as possible. As the gold standard, DSA has its great advantage in the patients with high-grade ste