發(fā)布時(shí)間：2018-08-13 08:46

【摘要】：目的探討頸動(dòng)脈超聲(CU)與經(jīng)顱多普勒超聲(TCD)聯(lián)合檢測(cè)缺血性腦卒中(CIS)的臨床價(jià)值。方法比較130例CIS患者(實(shí)驗(yàn)組)和130例非CIS患者(對(duì)照組)頸動(dòng)脈和顱內(nèi)動(dòng)脈管腔狹窄程度以及內(nèi)中膜增厚情況、斑塊檢出情況、斑塊特點(diǎn)以及3種方法診斷頸動(dòng)脈和顱內(nèi)動(dòng)脈狹窄的靈敏度、特異性、準(zhǔn)確率。結(jié)果實(shí)驗(yàn)組患者頸動(dòng)脈和顱內(nèi)動(dòng)脈管腔狹窄程度明顯高于對(duì)照組,內(nèi)中膜增厚率明顯高于對(duì)照組,有統(tǒng)計(jì)學(xué)差異(P0.05);實(shí)驗(yàn)組患者斑塊檢出率明顯高于對(duì)照組且多發(fā)斑塊所占比例明顯高于對(duì)照組,有統(tǒng)計(jì)學(xué)差異(P0.05);實(shí)驗(yàn)組患者均質(zhì)等回聲所占比例明顯低于對(duì)照組,不均質(zhì)回聲、形態(tài)不規(guī)則及潰瘍所占比例明顯高于對(duì)照組,有統(tǒng)計(jì)學(xué)差異(P0.05);腦缺血側(cè)均質(zhì)強(qiáng)回聲和均質(zhì)等回聲所占比例明顯低于非腦缺血側(cè),不均質(zhì)回聲、形態(tài)不規(guī)則以及潰瘍所占比例明顯高于非腦缺血側(cè),有統(tǒng)計(jì)學(xué)差異(P0.05);CU與TCD聯(lián)合診斷頸動(dòng)脈和顱內(nèi)動(dòng)脈狹窄的靈敏度、特異性、準(zhǔn)確率均明顯高于單純CU或TCD診斷,有統(tǒng)計(jì)學(xué)差異(P0.05)。結(jié)論 CU與TCD聯(lián)合診斷CIS準(zhǔn)確率高,能夠?qū)︻i動(dòng)脈和顱內(nèi)動(dòng)脈狹窄以及斑塊特點(diǎn)進(jìn)行全面評(píng)估,為CIS鑒別和病情評(píng)估提供可靠依據(jù)。
[Abstract]:Objective to evaluate the clinical value of carotid (CU) combined with transcranial Doppler (TCD) (TCD) in detecting (CIS) in ischemic stroke. Methods the stenosis degree of carotid and intracranial arteries and the intima media thickening were compared in 130 CIS patients (experimental group) and 130 non-CIS patients (control group). The characteristics of plaque and the sensitivity, specificity and accuracy of three methods in the diagnosis of carotid and intracranial artery stenosis. Results the degree of stenosis of carotid and intracranial arteries in the experimental group was significantly higher than that in the control group, and the rate of medial thickening was significantly higher in the experimental group than in the control group. There was statistical difference (P0.05); the detection rate of plaque in the experimental group was significantly higher than that in the control group and the proportion of multiple plaques was significantly higher than that in the control group (P0.05); the proportion of homogeneous echo in the experimental group was significantly lower than that in the control group, and the proportion of heterogeneous echo was significantly lower than that in the control group. The proportion of irregular morphology and ulcer was significantly higher than that of control group (P0.05), the proportion of homogeneous and homogeneous echo in ischemic side was significantly lower than that in non-ischemic side, and the proportion of homogeneous echo was significantly lower than that in non-ischemic side, and the proportion of homogeneous echo in ischemic side was significantly lower than that in non-ischemic side. The proportion of irregular morphology and ulceration was significantly higher than that of non-ischemic side (P0.05) the sensitivity, specificity and accuracy of CU combined with TCD in the diagnosis of carotid and intracranial artery stenosis were significantly higher than those of CU or TCD alone. There was statistical difference (P0.05). Conclusion the accuracy of CU combined with TCD in the diagnosis of CIS is high. It can comprehensively evaluate carotid artery stenosis and intracranial artery stenosis and plaque characteristics and provide reliable basis for differential diagnosis and evaluation of CIS.
【作者單位】： 柳州市工人醫(yī)院;
【基金】：廣西衛(wèi)生廳課題(Z2015162)
【分類號(hào)】：R445.1;R743.3

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