头颈联合128层螺旋CT血管成像在颅内外动脉狭窄中诊断价值的研究.docVIP

头颈联合128层螺旋CT血管成像在颅内外动脉狭窄中诊断价值的研究 刘国庆何泽清杨秀娟 (重庆三峡屮心医院重庆万州404000) 【摘要】目的：探讨头颈联合128-SSCTA对颅内外动脉狭窄的诊断价值。方 法：34例患者行128-SSCTA检查后，2周内行DSA。分别参照华法林■阿司匹林症 状性颅内动脉疾病研究(Warfarin-Aspirin Symptomatic Intracranial Diseas Study,WASIDS)使用的测量方法和北美症状性颈动脉内膜切除试验标准(North American Symptomatic Carotid Endarterectomy Trial,NASCET)对颅内外血管狭窄率 进行分级。以DSA为标准，评价128-SSCTA诊断血管狭窄的准确率、敏感度、特 异度、阳性预测值及阴性预测值。结果：128-SSCTA诊断160支血管狭窄或闭塞， 轻度狭窄93支，屮度狭窄48支，重度狭窄12支，闭塞7支，418支血管正常。 DSA诊断155支血管狭窄或闭塞，轻度狭窄104支，中度狭窄33支，重度狭窄 口支，闭塞7支，423支血管正常。以DSA为“金标准”，128-SSCTA检出颅内 外血管病变总的准确率、敏感度、特异度、阳性预测值及阴性预测值分别为97 1 %(561/578) 96 1 %(149/155)97 4%(412/423)、93 1%(149/160)及 98 6%(412/418)o 128-SSCTA和DSA对血管狭窄检出率差异无统计学意义(x2二3 465,P=0 483)o结论：128-SSCTA对颅内、外动脉狭窄的诊断具有较高敏感 度、特异度和准确率，可作为动脉狭窄筛查与诊断的常规检查方法。 【关键词】128层螺旋CT；血管成像；数字减影血管造影；颅内外动脉狭窄 Study of head and neck with 128 slice spiral CT angiography in intracranial and extracranial artery stenosis diagnosis value Liu GuoqingHe ZeqingYang Xiujuan(Central Hospital of Chongqing Three Gorges, Chongqing, Wanzhou, 404000) 【Abstract] Objective: To investigate the value of 128-SSCTA in head and neck combined intracra nial and extracra nial artery stenosis diag no sis. Methods: 34 patients who underwent 128-SSCTA examination after 2 weeks, DSA. Warfarin and aspirin respectively according to symptomatic intracranial arterial disease research (Warfarin-Aspirin Symptomatic Intracranial Diseas Study, WASIDS) measurement method using and the North American Symptomatic Carotid Endarterectomy Trial standard (North American Symptomatic Carotid Endarterectomy Trial, NASCET) classification of intracranial and extracranial vascular stenosis rate. With DSA as the standard，evaluation of 128-SSCIA diagnosis of vascular stenosis of accuracy, sensitivity, specificity, positive predictive value and negative predictive value. Results: 128-SSC7A diagnosis 160 vessel occlusion or stenosis, 93 mild stenosis, 48 moderate ste no sis, severe ste nosis 12, block 7, 418 vessels in no rmal. DSA diag nosis of 155 vessel occlus