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超声和多层螺旋CT血管造影检测脑梗死患者颅外颈动脉的临床价值 被引量:15

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摘要 目的比较超声和多层螺旋CT血管造影(MSCTA)对脑梗死患者颈动脉斑块的检查一致性及对斑块定位、定性、狭窄程度判定的临床价值。方法对65例脑梗死患者在1周内进行超声和MSCTA检查,分别观察斑块有无、位置、性质及血管狭窄程度,并对其进行统计学分析。结果 65例脑梗死患者经超声和MSCTA检查分别发现了76处和78处颅外颈动脉斑块,两者对于颈动脉粥样硬化斑块的检出率差异无统计学意义。超声和MSCTA对脑梗死患者颅外颈动脉不同性质斑块检出率差异无统计学意义(χ2=4.88,P=0.087);对不同部位斑块检出率的差异无统计学意义(χ2=0.42,P=0.81);对各处斑块不同狭窄程度的检出率差异无统计学意义(χ2=8.044,P=0.06)。结论颈动脉粥样硬化和脑梗死的关系密切,超声、MSC-TA在对动脉粥样硬化的检查中具有互补作用。
出处 《中华临床医师杂志(电子版)》 CAS 2012年第6期155-157,共3页 Chinese Journal of Clinicians(Electronic Edition)
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