首页|经颅彩色多普勒超声参数对帕金森病的诊断价值

经颅彩色多普勒超声参数对帕金森病的诊断价值

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目的:探讨经颅彩色多普勒超声参数对帕金森病的诊断价值.方法:选取2022年2月—2023年3 月莆田市第一医院收治的 53 例帕金森病患者设为研究组,另选取同期在医院进行体检的 53 例健康者设为对照组.两组均行经颅彩色多普勒超声检查,测定脑区黑质强回声面积、中脑面积、黑质强回声面积/中脑面积(hyper-substantia nigra/midbrain,S/M),绘制受试者工作曲线(receiver operating characteristic,ROC)分析经颅彩色多普勒超声参数对帕金森病的诊断价值.结果:研究组黑质强回声面积、S/M均较对照组高,差异有统计学意义(P<0.05);两组中脑面积对比,差异无统计学意义(P>0.05).ROC曲线显示,黑质强回声面积、S/M及联合检测诊断帕金森病的AUC分别为0.824、0.857、0.914,且黑质强回声面积、S/M检测的cut-off值分别取 0.220 cm2、7.210%时,可获得最佳诊断价值.结论:经颅彩色多普勒超声参数对帕金森病有较高诊断价值,可将黑质强回声面积、S/M作为帕金森病诊断的重要辅助参数.
Diagnostic Value of Transcranial Color Doppler Ultrasound Parameters for Parkinson Disease
Objective:To explore the diagnostic value of transcranial color Doppler ultrasound parameters for Parkinson disease.Method:A total of 53 Parkinson disease patients admitted to the First Hospital of Putian City from February 2022 to March 2023 were selected as research group,and 53 healthy individuals who underwent physical examinations at the same time in our hospital were selected as control group.Both groups underwent transcranial color Doppler ultrasound examination to determine the hyper-substantia nigra,midbrain area and the strong echo area of the substantia nigra/midbrain(S/M).The receiver operating characteristic(ROC)curve was plotted to analyze the diagnostic value of transcranial color Doppler ultrasound parameters for Parkinson disease.Result:The hyper-substantia nigra and S/M in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in midbrain area between the two groups(P>0.05).The ROC curve showed that the AUC for diagnosing Parkinson disease were 0.824,0.857,0.914 of the hyper-substantia nigra,S/M and combined detection,respectively;when the the cut-off value of the hyper-substantia nigra and S/M were 0.220 cm2 and 7.210%respectively,the best diagnostic values were obtained.Conclusion:Transcranial color Doppler ultrasound parameters has high diagnostic value for Parkinson disease,and it is considered that in the future,the hyper-substantia nigra and S/M can be important auxiliary parameters for the diagnosis of Parkinson disease.

Parkinson diseaseTranscranial color ultrasoundDiagnostic value

周丽清

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莆田市第一医院 福建 莆田 351100

帕金森病 经颅彩色多普勒超声 诊断价值

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(1)
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