摘要
目的研究脑血管疾病的诊断方法,探讨彩超颈动脉检查技术,在其中应用的价值。方法选115例脑血管疾病疑似患者,抽取时间范围2022年1月-2024年12月,将其定义为研究组,在入院后首先实施经颅多普勒超声检查,再实施彩超颈动脉检查,以CT造影结果作为金标准。再选择同期的健康体检健康人群资料115例,实施彩超颈动脉检查,并将其命名为对照组。对比如下指标:①金标准证实阳性病例情况;②经颅多普勒超声检查和彩超颈动脉检查脑血管疾病阳性率;③两种技术检查脑血管病的灵敏度、特异度、准确度、阳性预测值、阴性预测值;④对照组和研究组彩超颈动脉检查相关指标水平;⑤对照组和研究组彩超颈动脉检查相关指标阳性率。结果通过研究可证实:①金标准证实阳性病例110例,占比为95.65%;②彩超颈动脉检查脑血管疾病阳性率,高于经颅多普勒超声检查,组间比较P<0.05;③彩超颈动脉检查脑血管病的灵敏度、特异度、准确度、阳性预测值、阴性预测值,均高于经颅多普勒超声检查,组间比较P<0.05;④研究组峰值流速、舒张末期流速均低于对照组,颈动脉内膜-中膜厚度、斑块面积、斑块灰度值、血流阻力指数均高于对照组,组间比较P<0.05;⑤研究组上述彩超颈动脉检查相关指标阳性率高于对照组,组间比较P<0.05。结论脑血管疾病以彩超颈动脉检查方式实施诊断效果理想。
Objective:To study the diagnostic methods of cerebrovascular diseases and explore the value of ultrasound carotid artery examination technology in its application.Method:A total of 115 suspected patients with cerebrovascular disease were selected from the period of January 2022 to December 2024 and defined as the study group.After admission,transcranial Doppler ultrasound examination was performed first,followed by color Doppler carotid artery examination,with CT angiography results as the gold standard.115 healthy individuals who underwent health check ups during the same period were selected and subjected to carotid artery ultrasound examination,which was named the control group.Compare the following indicators:①confirmed positive cases by gold standard;②Positive rate of cerebrovascular disease in transcranial Doppler ultrasound and carotid artery ultrasound examination;③Sensitivity,specificity,accuracy,positive predictive value,and negative predictive value of two techniques for detecting cerebrovascular disease;④The levels of relevant indicators for carotid artery examination by color ultrasound in the control group and study group;⑤The positive rate of relevant indicators in carotid artery examination by color ultrasound in the control group and study group.The results can be confirmed through research:①110 cases were confirmed as positive by the gold standard,accounting for 95.65%;②The positive rate of cerebral vascular disease in carotid artery examination by color Doppler ultrasound is higher than that in transcranial Doppler ultrasound examination,and the inter group comparison is P<0.05;③The sensitivity,specificity,accuracy,positive predictive value,and negative predictive value of carotid artery ultrasound examination for cerebrovascular disease were higher than those of transcranial Doppler ultrasound examination,and the inter group comparison was P<0.05 The peak flow velocity and end diastolic flow velocity of the research group were lower than those of the control group,while the intima-media thickness,plaque area,plaque gray value,and blood flow resistance index of the carotid artery were higher than those of the control group,with P<0.05 for inter group comparison The positive rate of the above-mentioned ultrasound related indicators in the carotid artery examination of the research group was higher than that of the control group,and the inter group comparison was P<0.05.Conclusion:The use of color Doppler ultrasound for carotid artery examination in the diagnosis of cerebrovascular diseases yields ideal results.
作者
魏晓怡
Wei Xiaoyi(Shandong Medical College,Diagnostic Teaching and Research Office,276000)
出处
《医学前沿》
2025年第3期12-14,共3页
Frontiers of Medicine
关键词
脑血管疾病
彩超颈动脉
经颅多普勒超声
检查
Cerebrovascular disease
Ultrasound of carotid artery
Transcranial Doppler ultrasound
inspect
