[1]徐 磊,张甲宁,李 梦.基于头颈部CTA和颈部血管彩超的颈动脉狭窄介入治疗效果评价[J].医学信息,2024,37(21):91-94.[doi:10.3969/j.issn.1006-1959.2024.21.020]
　XU Lei,ZHANG Jianing,LI Meng.Evaluation of Interventional Therapy for Carotid Artery Stenosis Based on Head and Neck CTA and Neck Vascular Color Doppler Ultrasound[J].Journal of Medical Information,2024,37(21):91-94.[doi:10.3969/j.issn.1006-1959.2024.21.020]
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基于头颈部CTA和颈部血管彩超的颈动脉狭窄介入治疗效果评价()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年21期
页码:
91-94
栏目:
论著
出版日期:
2024-11-01

文章信息/Info

Title:
Evaluation of Interventional Therapy for Carotid Artery Stenosis Based on Head and Neck CTA and Neck Vascular Color Doppler Ultrasound
文章编号:
1006-1959（2024）21-0091-04
作者:
徐 磊; 张甲宁; 李 梦
信丰县人民医院神经内科，江西 信丰 341699
Author(s):
XU Lei; ZHANG Jianing; LI Meng
Department of Neurology,Xinfeng County People’s Hospital,Xinfeng 341699,Jiangxi,China
关键词:
头颈部CTA; 颈部血管彩超; 颈动脉狭窄; 介入治疗
Keywords:
Head and neck CTA; Neck vascular ultrasound; Carotid artery stenosis; Interventional therapy
分类号:
R445
DOI:
10.3969/j.issn.1006-1959.2024.21.020
文献标志码:
A
摘要:
目的 探讨头颈部CT血管造影（CTA）和颈部血管彩超在颈动脉狭窄（CAS）介入治疗中的价值。方法 以2022年10月-2023年10月信丰县人民医院拟行介入治疗的48例CAS患者为研究对象，统计其治疗前的数字减影血管造影（DSA）、头颈部CTA、颈部血管彩超检测结果，分析DSA与头颈部CTA、颈部血管彩超的一致性。以DSA为金标准，比较头颈部CTA、颈部血管彩超及两者联合检测对颈动脉狭窄的检出率，比较患者介入治疗前后的头颈部CTA（狭窄远端直径、最小残余直径）、颈部血管彩超参数[收缩期峰值流速（PSV）、舒张期末流速（EDV）]。结果 经Kappa检验，头颈部CTA与DSA的检测结果具有较强一致性（k=0.785），颈部血管彩超与DSA的检测结果具有中等一致性（k=0.584）。头颈部CTA联合颈部血管彩超对颈动脉狭窄的检出率高于两者单一检测（P＜0.05）。介入治疗后，患者头颈部CTA参数（狭窄远端直径、最小残余直径）大于介入治疗前（P＜0.05），颈部血管彩超参数（PSV、EDV）小于介入治疗前（P＜0.05）。结论 头颈部CTA与颈部血管彩超在CAS检查中具有确切检出作用，二者联合效果更佳，其参数对介入治疗效果具有一定的评估价值。
Abstract:
Objective To investigate the value of head and neck CT angiography (CTA) and neck vascular ultrasound in the interventional treatment of carotid artery stenosis (CAS).Methods A total of 48 patients with CAS who underwent interventional therapy in Xinfeng County People’s Hospital from October 2022 to October 2023 were selected as the research objects. The results of digital subtraction angiography (DSA), head and neck CTA and neck vascular color Doppler ultrasound before treatment were counted, and the consistency of DSA with head and neck CTA and neck vascular color Doppler ultrasound was analyzed. DSA was used as the gold standard to compare the detection rate of carotid artery stenosis by head and neck CTA, neck vascular color Doppler ultrasound and their combined detection. The head and neck CTA (distal diameter of stenosis, minimum residual diameter) and neck vascular color Doppler ultrasound parameters [peak systolic velocity (PSV), end diastolic velocity (EDV)] before and after interventional therapy were compared.Results By Kappa test, the results of head and neck CTA and DSA had strong consistency (k=0.785), and the results of neck vascular color Doppler ultrasound and DSA had moderate consistency (k=0.584). The detection rate of carotid artery stenosis by head and neck CTA combined with neck vascular color Doppler ultrasound was higher than that by single detection (P<0.05). After interventional therapy, the CTA parameters of head and neck (distal diameter of stenosis, minimum residual diameter) were larger than those before interventional therapy (P<0.05), and the color Doppler ultrasound parameters of neck (PSV, EDV) were smaller than those before interventional therapy (P<0.05).Conclusion Head and neck CTA and neck vascular color Doppler ultrasound have a definite detection effect in CAS examination, and the combined effect of the two is better. The parameters have certain evaluation value for the effect of interventional therapy.

参考文献/References:

[1]张莉,李安洋,郭磊,等.颈动脉斑块彩色多普勒超声联合头颈部CTA诊断缺血性脑卒中患者颈动脉狭窄临床价值[J].医学影像学杂志,2023,33(8):1477-1480.[2]黄治飞,朱幼玲,董斌,等.头颈部CT血管成像评估颈动脉几何形态对颈内动脉起始部粥样斑块的影响[J].实用临床医药杂志,2023,27(13):65-70.[3]周瑞银,周强.数字减影血管造影在缺血性脑卒中患者颈部血管狭窄诊断及治疗中的价值[J].浙江医学,2023,45(11):1198-1202.[4]马青琳,潘慧如.颅外段椎动脉狭窄及发育不良的颈部血管超声评估[J].上海医药,2023,44(10):23-26.[5]徐玉泉,邓玉.颈动脉CT血管成像检查诊断颈动脉狭窄的临床价值[J].浙江医学,2023,45(3):306-308,323.[6]吴亚丽,叶友兵.头颈部CTA诊断急性缺血性脑卒中动脉狭窄价值分析[J].贵州医药,2023,47(1):124-125.[7]金兆维,张丹丹,马飞龙,等.颈部CTA评估颅外段椎动脉狭窄及颅外段椎动脉发育不良的研究[J].影像科学与光化学,2023,41(1):169-172.[8]吕志坤,魏萌萌,李国珍,等.头颈部CTA联合动态动脉硬化指数在急性分水岭脑梗死中的诊断及预后价值分析[J].中国动脉硬化杂志,2022,30(11):966-973,1012.[9]Shimoyama T,Gaj S,Nakamura K,et al.Quantitative CTA vascular calcification, atherosclerosis burden, and stroke mechanism in patients with ischemic stroke[J].Journal of the Neurological Sciences,2023,449:120667.[10]Nakano H,Tomiyama H,Fujii M,et al.The associations among arterial stiffness, endothelial dysfunction and the progression of carotid atherosclerosis in hypertensive subjects with/without carotid atherosclerosis[J].European Heart Journal,2020,41(2):117-121.[11]孙青,李耀锋,杨伟兵,等.动脉CT血管成像诊断头颈部血管疾病的价值[J].检验医学与临床,2022,19(13):1795-1798.[12]万宏燕,杨瑜,韩媛媛.颈部血管超声联合CT血管造影对脑梗死患者颈动脉斑块的诊断价值[J].实用心脑肺血管病杂志,2022,30(6):98-101.[13]黄红,谢懿漫.颈部血管超声联合经颅多普勒超声在老年急性脑梗死患者颈动脉狭窄评估中的应用 [J].中国老年学杂志,2022,42(9):2084-2087.[14]徐静,孙道东,张国庆.颈部彩色多普勒血流显像联合CT血管造影对颈性眩晕的诊断价值[J].安徽医药,2021,25(6):1144-1146,1277.[15]陈其锋,张雄彪,李水连,等.多层螺旋CT低剂量对比剂在头颈联合CT血管成像应用的可行性研究[J].中国医学装备,2021,18(5):61-64.[16]贾松峰,李建玲,龚卉.颈部血管超声、CT血管造影诊断颈动脉狭窄病变效能比较[J].中国CT和MRI杂志,2020,18(7):36-38.[17]魏书恒,杨雪,车延旭,等.头颈部CTA和DSA对头颈动脉狭窄诊断比较[J].河北医药,2020,42(11):1673-1676.[18]陈园园,康彧,张嬿,等.经颅多普勒超声联合颈动脉超声在老年脑梗死患者血管病变评估中的应用[J].中国老年学杂志,2021,41(4):705-708.[19]朱晓红,钟亚鼎,李小虎,等.头颈部CT血管造影对自发性脑出血病因学诊断的应用价值[J].安徽医药,2020,24(11):2203-2206.[20]姬智艳,刘德祥,陈显杰,等.能谱CTA分析颈动脉斑块成分及其与脑梗死的关系[J].中国医学影像技术,2020,36(9):1309-1313.[21]涂波,潘志华,刘信东,等.CTA和DSA诊断颈动脉狭窄的价值观察[J].中国实验诊断学,2020,24(6):910-914.[22]丁斌,唐蓉,梁贞,等.颈部血管超声血流显像、CTA在颈动脉重度狭窄患者术前诊断及术后随访中的应用[J].中国CT和MRI杂志,2021,19(2):50-52.[23]陈晓华,潘延平,高咏梅,等.颈部血管彩超及颈部CTA联合CTP对急性脑梗死合并脑血管狭窄的诊断价值[J].海南医学,2020,31(10):1279-1282.[24]厉青,倪健强,徐元.CTA与颈部血管彩色超声诊断ACI患者颈动脉颅外段病变的应用研究[J].河北医科大学学报,2020,41(1):17-20,28.

更新日期/Last Update: 1900-01-01