三维超声测量颈动脉参数诊断缺血性脑卒中的价值
Value of Three-Dimensional Ultrasound Measurement of Carotid Artery Parameters in the Diagnosis of Ischemic Stroke
刘延春 1南淑伟2
作者信息
- 1. 南阳市唐河县人民医院超声科,河南南阳 473400
- 2. 濮阳市人民医院超声科,河南濮阳 457005
- 折叠
摘要
目的 探讨三维超声测量颈动脉参数诊断缺血性脑卒中(IS)的价值.方法 选取 2022 年 5 月至 2023 年 4 月本院收治的 90 例IS患者为观察组,以同期存在颈动脉斑块但无梗死病灶的 90 例患者为对照组.两组患者均接受三维超声检查,分析颈动脉斑块参数预测IS的价值.结果 观察组灰阶中位数低于对照组,血管壁面积、标准化管壁指数高于对照组(P＜0.05).灰阶中位数、血管壁面积、标准化管壁指数及三者联合检测预测IS的AUC依次为 0.737、0.766、0.739、0.899,联合检测预测IS的AUC高于各项参数单独预测(P＜0.05).结论 颈动脉斑块三维超声参数灰阶中位数、血管壁面积、标准化管壁指数预测IS发生具有一定价值,三者联合检测可提高预测效能.
Abstract
Objective To explore the value of three-dimensional ultrasound measurement of carotid artery parameters in the diagnosis of ischemic stroke(IS).Methods 90 IS patients admitted to our hospital from May 2022 to April 2023 were selected as observation group,and 90 patients with carotid plaque but no infarction lesions were selected as control group.Both groups underwent 3D ultrasound examination to analyze the value of carotid plaque parameters in predicting IS.Results The median gray scale of the observation group was lower than that of the control group,and the vascular wall area and standardized tube wall index were higher than those of the control group(P<0.05).The AUC of median gray scale,vascular wall area,standardized tube wall index and combined detection for predicting IS were 0.737,0.766,0.739 and 0.899,respectively;the AUC of combined detection for predicting IS was higher than that of single detection(P<0.05).Conclusions The three-dimensional ultrasound parameters of carotid plaque such as median gray scale,vascular wall area and standardized wall index are valuable in predicting the occurrence of IS.The combined detection of the three parameters can improve the prediction efficiency.
关键词
三维超声/颈动脉参数/缺血性脑卒中Key words
Three-dimensional ultrasound/Carotid artery parameter/Ischemic stroke引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
维普
万方数据