摘要
目的探讨并比较老年脑梗死颅内动脉狭窄的数字减影血管造影(DSA)、CT血管成像(CTA)影像特征及诊断价值。方法选取江苏省徐州仁慈医院2017年5月至2020年12月收治的103例老年脑梗死患者为研究对象,均行DSA、CTA诊断,以DSA诊断结果为“金标准”。记录老年脑梗死患者颅内动脉狭窄的DSA、CTA影像特征,比较二者对颅内动脉狭窄诊断的一致性。结果DSA诊断结果显示,颅内动脉正常7例,轻度狭窄58例,中度狭窄23例,重度狭窄13例,闭塞2例。CTA诊断出颅内动脉正常13例,轻度狭窄54例,中度狭窄24例,重度狭窄11例,闭塞1例。DSA与CTA对老年脑梗死患者颅内动脉狭窄的诊断具有高度一致性(Kappa=0.748,P<0.05)。结论CTA诊断与DSA检查存在较高一致性,CTA诊断老年脑梗死患者颅内动脉狭窄具有一定价值。
Objective To explore and compare the imaging features and diagnostic value of digital subtraction angiography(DSA)and CT angiography(CTA)of intracranial artery stenosis in elderly patients with cerebral infarction.Methods A total of 103 elderly patients with cerebral infarction admitted to the Xuzhou Renci Hospital,Jiangsu Province were selected as the research objects from May 2017 to December 2020.All patients were diagnosed with DSA and CTA,with DSA as the“gold standard”.DSA and CTA image characteristics of intracranial artery stenosis in elderly patients with cerebral infarction were recorded,and the consistency of diagnosis of intracranial artery stenosis was compared between them.Results DSA diagnosis showed normal intracranial artery in seven cases,mild stenosis in 58 cases,moderate stenosis in 23 cases,severe stenosis in 13 cases,and occlusion in two cases.CTA diagnosed normal intracranial artery in 13 cases,mild stenosis in 54 cases,moderate stenosis in 24 cases,severe stenosis in 11 cases,and occlusion in one case.DSA and CTA were highly consistent in the diagnosis of intracranial artery stenosis in elderly patients with cerebral infarction(Kappa=0.748,P<0.05).Conclusion CTA diagnosis has a high consistency with DSA examination,and CTA has certain value in the diagnosis of intracranial artery stenosis in elderly patients with cerebral infarction.
作者
陈育锋
程影
祁良
CHEN Yufeng;CHENG Ying;QI Liang(Department of Medical Imaging,Xuzhou Renci Hospital,Jiangsu Province,Xuzhou 221000,China;Department of Radiology,the First Affiliated Hospital of Nanjing Medical University,Jiangsu Province,Nanjing 210029,China)
出处
《中国医药导报》
CAS
2022年第10期151-154,共4页
China Medical Herald
基金
江苏省研究生创新培养计划项目(2019SY01056)。
关键词
脑梗死
颅内动脉狭窄
数字血管造影
CT血管成像
诊断
Cerebral infarction
Intracranial artery stenosis
Digital subtraction angiography
CT angiography
Diagnosis
