摘要
探究脑梗死患者颈动脉斑块诊断中,联合应用颈部血管超声检查、CT血管造影(CTA)的价值与诊断效果。研究样本选取于柳州市柳铁中心医院2021年12月—2023年7月期间住院治疗的72例脑梗死患者,在检查方案方面,全部研究样本均开展颈部血管超声检查、CTA检查及数字减影血管造影(DSA)检查,其中颈动脉斑块诊断的金标准为DSA检查结果,分析颈部血管超声、CTA联合检查的应用效果。研究结果显示,在敏感性、准确性方面,联合诊断与CTA诊断基本相似(P>0.05),但与颈部血管超声相比,联合诊断更优(P<0.05)。研究发现脑梗死患者颈动脉斑块诊断中,联合应用颈部血管超声检查、CTA的价值较为理想,能够较为完善地进行诊断评估。
To explore the value and diagnostic effectiveness of combining cervical vascular ultrasound examination and CT angiography(CTA)in the diagnosis of carotid plaques in patients with cerebral infarction.The research sample was selected from 72 patients with cerebral infarction who were hospitalized at Liuzhou Municipal Liutie Central Hospital from December 2021 to July 2023.In terms of examination plan,all research samples underwent neck vascular ultrasound examination,CTA examination,and digital subtraction angiography(DSA)examination.The gold standard for the diagnosis of carotid plaques was the DSA examination results.The application effect of neck vascular ultrasound and CTA combined examination was analyzed.The research results show that in terms of sensitivity and accuracy,combined diagnosis is basically similar to CTA diagnosis(P>0.05),but compared with cervical vascular ultrasound,combined diagnosis is better(P<0.05).Research has found that the combined use of cervical vascular ultrasound examination and CTA is of ideal value in the diagnosis of carotid plaques in patients with cerebral infarction,and can provide a more comprehensive diagnostic evaluation.
作者
高洁
Gao Jie(Liuzhou Municipal Liutie Central Hospital,Liuzhou,Guangxi 545007)
关键词
颈部血管超声检查
CT血管造影
脑梗死
颈动脉斑块
诊断
neck vascular ultrasound examination
CT angiography
cerebral infarction
carotid artery plaque
diagnosis
