论著-头颈部
64排螺旋CT对症状性颈动脉狭窄的临床诊断价值研究*
作者:崔庆周1 郭宏强2
所属单位:1.河南省漯河医专第一附属医院放射科(河南 漯河 462000) 2.郑州大学附属肿瘤医院(河南省肿瘤医院)(河南 郑州 450008)
PDF摘要
目的研究与分析症状性颈动脉 狭窄应用64排螺旋CT检查临床价值。方法 将本院所收治的76例脑血管患者按照疾 病类型分组为对照组与观察组,各38例。 对照组为非缺血性脑血管疾病患者;观察 组为缺血性脑血管疾病患者;2组患者均 采用64排螺旋CT检查,并对2组患者双侧 颈动脉斑块类型、狭窄程度进行评价与分 析。结果 经研究发现,观察组患者发生 颈动脉狭窄率为78.95%(30/38)明显高于 对照组36.84%(14/38)(P<0.05);观察组 各段血管主要以软斑为主,然对照组主要 以硬斑为主。结论 临床采用64排螺旋CT 用于临床诊断可有效判断患者动脉内斑数 量及性质,同时还可有效评估患者血管闭 塞及狭窄情况。因此临床应用64排螺旋CT 诊断症状性颈动脉狭窄具有极其重要的诊 断价值,从而为临床治疗方案选择提供重 要参考。
Objective Research and analysis the 64-slice spiral CT scan clinical value of symptomatic carotid stenosis. Methods The institutes will be admitted 76 cases of patients with cerebrovascular disease types grouped according to the control group and the observation group, 38 cases each. Patients with non-ischemic control group were cerebrovascular disease; observation group for patients were ischemic cerebrovascular disease; group 2 patients were treated with 64-slice spiral CT, and for two groups of patients with bilateral carotid artery plaque type, degree of stenosis evaluation and Analysis. Results The study found that patients with carotid artery stenosis observation group was 78.95% (30/38) significantly higher than 36.84% (14/38) (P<0.05); observation group segments vessels mainly in the soft spot based, However, in the control group mainly hard plaque based. Conclusion Patients with clinical use of 64-slice spiral CT vascular occlusion and stenosis can be effectively used in clinical diagnosis to determine the number and nature of plaque inside the arteries of patients, but also effectively assessed. Therefore, clinical application of 64-slice spiral CT in diagnosis of symptomatic carotid stenosis is extremely important diagnostic value, thus providing an important reference for clinical treatment options.
【关键词】颈动脉狭窄;螺旋CT;诊断
【中图分类号】R543.4;R445.3
【文献标识码】A
【DOI】10.3969/j.issn.1672-5131.2015.06.006
前言
人体大动脉粥样硬化好发部位主要为颈动脉,其颈动脉狭窄及闭 塞是导致患者发生缺血性脑血管疾病主要因素[1]。近年来,随着人们 生活水平及饮食结构不断变化,然症状性颈动脉狭窄卒中发生率也随 之而增加。及早诊断与及时治疗可有效改善患者预后,提高患者生活 质量[2]。临床应用64排螺旋CT诊断具有较好成像效果,同时其无创且 实用,同时还可准确检测出颈动脉狭窄,从而为临床及时治疗提供重 要价值。但目前有关症状性颈动脉狭窄报道较少,为研究64排螺旋CT 用于症状性颈动脉狭窄诊断价值,特选取本院所收治的脑血管患者进 行研究,如下。
中国CT和MRI杂志
第13卷, 第 6 期
2015年06月
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