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头颈CTA在脑梗死患者颈动脉粥样硬化病变评估中的价值

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目的:探究对脑梗死患者应用头颈CT血管造影(CTA)后再评估颈动脉粥样硬化病变的价值分析.方法:本次试验抽取南通市海门区中医院在2021年3月~2023年1月收治的脑梗死患者60例,采取数字随机方式分为对照组、观察组,每组30例.对照组实施彩色多普勒超声(CDUS)检查,观察组实施头颈CTA检查,比较两组患者颈动脉中重度血管狭窄检出率;比较两组患者颈总动脉(CCA)、颈内动脉(ICA)、颈外动脉(ECA)斑块数量和类型.结果:分析两组颈动脉中重度血管狭窄检出率,对照组为73.33%,观察组为93.33%,观察组高于对照组,差异显著(P<0.05).分析斑块数量以及类型,两组均可见钙化斑块、软斑块、混合斑块,在CCA以及ECA上两组斑块数量检出无明显差异(P>0.05),ICA上观察组高于对照组,差异显著(P<0.05).结论:在评估脑梗死患者颈动脉粥样硬化病变时,给予头颈CTA技术,效果较为显著,可以对颈动脉粥样硬化狭窄程度进行有效评估,并且已作为首选斑块检出检查方法,尤其是在ICA上,故此在临床病变评估方案中值得大范围推广与实施.
Value of Head and Neck CTA in the Evaluation of Carotid Atherosclerotic Lesions in Patients with Cerebral Infarction
Objective:To explore the value analysis of evaluating carotid atherosclerotic lesions after applying head and neck CT angiography(CTA)in patients with cerebral infarction.Methods:In this experiment,60 patients with cerebral infarction admitted to Nantong Haimen District Hospital of Traditional Chinese Medicine from March 2021 to January 2023 were randomly divided into two groups,namely the control group and the observation group,with 30 patients as the number of people in each group.The control group performed color Doppler ultrasound(CDUS),and the observation group performed head and neck CTA to compare the detection rate of moderate or severe carotid artery stenosis in the two groups;The number and type of common carotid artery(CCA),internal carotid artery(ICA),and external carotid artery(ECA)plaques in the two groups.Results:The detection rate of moderate and severe vascular stenosis of carotid artery in the two groups was 73.33%in the control group and 93.33%in the observation group,which was higher than the control group,with a significant difference(P<0.05).The number and type of plaques were analyzed.calcified plaques,soft plaques and mixed plaques were visible in both groups.There was no significant difference in the number of plaques on CCA and ECA(P>0.05),while the observation group was higher than the control group on ICA,with a significant difference(P<0.05).Conclusion:In the evaluation of carotid atherosclerosis lesions in patients with cerebral infarction,give head and neck CTA technology,the effect is significant,can effectively evaluate the degree of carotid atherosclerosis stenosis,and as the preferred plaque detection examination method,especially on ICA,therefore is worth widespread promotion and implementation in clinical lesion evaluation scheme.

head and neck CTAcerebral infarctioncarotid atherosclerosisevaluation value

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南通市海门区中医院影像科 (江苏 南通 226100)

头颈CTA 脑梗死 颈动脉粥样硬化 评估价值

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(18)