本文關(guān)鍵詞： 超聲檢查 多普勒 彩色 血管造影術(shù) 頸內(nèi)動脈 超微血流成像 超聲造影　出處：《重慶醫(yī)學(xué)》2016年26期 　論文類型：期刊論文

【摘要】：目的探討超微血流成像技術(shù)評價頸內(nèi)動脈閉塞的價值。方法對23例多普勒彩超發(fā)現(xiàn)的可疑單側(cè)頸內(nèi)動脈閉塞患者分別行超微血流成像(SMI),超聲造影以及數(shù)字減影血管造影(DSA)3種檢查,比較SMI與DSA、超聲造影與DSA,以及SMI與超聲造影檢查的一致性。結(jié)果 SMI顯示頸內(nèi)動脈完全閉塞15例,重度狹窄8例;超聲造影顯示頸內(nèi)動脈完全閉塞13例,重度狹窄10例;DSA顯示頸內(nèi)動脈完全閉塞13例,重度狹窄10例。SMI與DSA、超聲造影與DSA及SMI與超聲造影的診斷一致性Kappa值分別為0.638、0.823、0.819。SMI與超聲造影的診斷結(jié)果差異無統(tǒng)計學(xué)意義(P0.05)。結(jié)論 SMI對頸內(nèi)動脈閉塞有超聲造影相似的價值。
[Abstract]:Objective to evaluate the value of ultramicro blood flow imaging in the evaluation of internal carotid artery occlusion. Methods 23 patients with suspected unilateral internal carotid artery occlusion detected by Doppler color Doppler ultrasound were treated with SMIG, contrast-enhanced ultrasound and digital subtraction blood respectively. Three kinds of DSAs were examined by tube angiography. Results the internal carotid artery was completely occluded by SMI in 15 cases, severe stenosis in 8 cases, complete occlusion of internal carotid artery in 13 cases by contrast-enhanced ultrasonography. DSA showed complete occlusion of internal carotid artery in 10 patients with severe stenosis. There was no significant difference between SMI and DSA in 10 cases of severe stenosis, the diagnostic consistency Kappa values of contrast-enhanced ultrasonography and DSA and SMI and contrast-enhanced ultrasonography were 0.6380.230.89. There was no significant difference between SMI and contrast-enhanced ultrasonography. Conclusion SMI has similar value in the diagnosis of internal carotid artery occlusion.
【作者單位】： 第三軍醫(yī)大學(xué)新橋醫(yī)院超聲科;
【分類號】：R445.1;R743.3
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本文編號：1531530