[1]陈 艳,赵文芳,柳 芊.颈动脉超声联合经颅多普勒超声在缺血性脑血管疾病中的应用价值[J].医学信息,2023,36(13):119-122.[doi:10.3969/j.issn.1006-1959.2023.13.024]
　CHEN Yan,ZHAO Wen-fang,LIU Qian.Application Value of Carotid Ultrasound Combined with Transcranial Doppler Ultrasound in Ischemic Cerebrovascular Disease[J].Journal of Medical Information,2023,36(13):119-122.[doi:10.3969/j.issn.1006-1959.2023.13.024]
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颈动脉超声联合经颅多普勒超声在缺血性脑血管疾病中的应用价值()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年13期
页码:
119-122
栏目:
论著
出版日期:
2023-07-01

文章信息/Info

Title:
Application Value of Carotid Ultrasound Combined with Transcranial Doppler Ultrasound in Ischemic Cerebrovascular Disease
文章编号:
1006-1959（2023）13-0119-04
作者:
陈 艳; 赵文芳; 柳 芊
（天津市泰达医院功能检查科，天津 300457）
Author(s):
CHEN Yan; ZHAO Wen-fang; LIU Qian
(Department of Functional Examination,Tianjin TEDA Hospital,Tianjin 300457,China)
关键词:
颈动脉超声; 经颅多普勒超声; 缺血性脑血管疾病
Keywords:
Carotid ultrasound; Transcranial Dopler ultrasound; Ischemic cerebrovascular disease
分类号:
R445
DOI:
10.3969/j.issn.1006-1959.2023.13.024
文献标志码:
A
摘要:
目的 研究颈动脉超声联合经颅多普勒超声在缺血性脑血管疾病中的诊断价值。方法 选取2020年4月-2022年4月在我院诊治的364例缺血性脑血管疾病患者作为观察组，并选取同期在我院体检健康者360名作为对照组，两组均行经颅多普勒超声及颈动脉超声检查，比较两组经颅多普勒超声图像特征、血流指标（椎动脉平均流速、椎动脉血流搏动指数、基底动脉平均流速、基底动脉血流搏动指数），分析不同检测方法的诊断效能（敏感度、特异度）及不同检测方法对缺血性脑血管疾病的诊断准确率与造影结果的一致性。结果 观察组内膜增厚、狭窄、闭塞、斑块发生率均高于对照组（P＜0.05）；观察组椎动脉平均流速、基底动脉平均流速低于对照组，椎动脉血流搏动指数、基底动脉血流搏动指数大于对照组（P＜0.05）；颈动脉超声与经颅多普勒超声联合的敏感度、特异度高于颈动脉超声、经颅多普勒超声单一检查（P＜0.05）；颈动脉超声与经颅多普勒超声联合诊断的准确率与造影结果具有高度一致性，且一致性高于颈动脉超声、经颅多普勒超声单一检查（P＜0.05）。结论 颈动脉超声与经颅多普勒超声联合检查在缺血性脑血管疾病中具有较高的诊断价值，可为临床治疗方案的制定和有效实施提供更准确的参考依据。
Abstract:
Objective To study the diagnostic value of carotid ultrasound combined with transcranial Doppler ultrasound in ischemic cerebrovascular disease.Methods A total of 364 patients with ischemic cerebrovascular disease diagnosed and treated in our hospital from April 2020 to April 2022 were selected as the observation group, and 360 healthy people who underwent physical examination in our hospital during the same period were selected as the control group. Both groups underwent transcranial Doppler ultrasound and carotid ultrasound. The characteristics of transcranial Doppler ultrasound images and blood flow indexes (mean velocity of vertebral artery, pulsatility index of vertebral artery blood flow, mean velocity of basilar artery, pulsatility index of basilar artery blood flow) were compared between the two groups. The diagnostic efficacy (sensitivity, specificity) of different detection methods and the consistency of diagnostic accuracy of different detection methods for ischemic cerebrovascular disease with angiography results were analyzed.Results The incidence of intimal thickening, stenosis, occlusion and plaque in the observation group was higher than that in the control group (P<0.05). The average flow velocity of vertebral artery and the average flow velocity of basilar artery in the observation group were lower than those in the control group, and the pulsatility index of vertebral artery and the pulsatility index of basilar artery were higher than those in the control group (P<0.05). The sensitivity and specificity of carotid ultrasound combined with transcranial Doppler ultrasound were higher than those of carotid ultrasound and transcranial Doppler ultrasound (P<0.05). The accuracy of combined diagnosis of carotid ultrasound and transcranial Doppler ultrasound was highly consistent with the results of angiography, and the consistency was higher than that of single examination of carotid ultrasound and transcranial Doppler ultrasound (P<0.05).Conclusion The combined examination of carotid ultrasound and transcranial Doppler ultrasound has high diagnostic value in ischemic cerebrovascular disease, which can provide more accurate reference for the formulation and effective implementation of clinical treatment plan.

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更新日期/Last Update: 1900-01-01