对颈部血管超声检查在缺血性脑血管疾病中的应用价值及准确率分析

Application Value and Accuracy Analysis of Cervical Vascular Ultrasonography in Ischemic Cerebrovascular Diseases

目的研究分析缺血性脑血管疾病诊断中应用颈部血管超声检查的临床价值及准确率。方法选择泰州市第三人民医院2019年1月—2022年4月期间收治的90例缺血性脑血管疾病患者为研究对象,所有患者均实施颈部血管超声检查与CT血管造影检查,分析颈部血管超声检查结果,以数字减影血管造影技术为金标准,统计比较颈部血管超声检查与CT血管造影检查对动脉管腔狭窄程度的诊断准确率。结果经颈部血管超声检查的符合率93.33%明显高于CT血管造影检查,差异有统计学意义(χ^(2)=5.711,P<0.05)。颈部血管超声检查动脉管腔狭窄程度的诊断准确率明显高于CT血管造影检查72.22%,差异有统计学意义(P<0.05)。结论缺血性脑血管疾病诊断中应用颈部血管超声检查的临床价值非常高,能够对患者血管内膜厚度、斑块回声以及动脉管腔狭窄程度予以准确判断。

Objective To study the clinical value and accuracy of cervical vascular ultrasound in the diagnosis of ischemic cerebrovascular diseases.Methods 90 patients with ischemic cerebrovascular diseases admitted to the Third People's Hospital of Taizhou City from January 2019 to April 2022 were selected as the research subjects.All patients underwent neck vascular ultrasound and CT angiography,and the results of neck vascular ultrasound were analyzed.Using digital subtraction angiography technology as the gold standard,the diagnostic accuracy of neck vascular ultrasound and CT angiography for the degree of arterial stenosis was statistically compared.Results The coincidence rate of cervical vascular ultrasound examination was 93.33%,which was significantly higher than that of CT angiography examination 72.22%,the difference was statistically significant(χ^(2)=5.711,P<0.05).The diagnostic accuracy of cervical vascular ultrasound in detecting arterial stenosis was significantly higher than that of CT angiography,the difference was statistically significant(P<0.05).Conclusion The application of cervical vascular ultrasonography in the diagnosis of ischemic cerebrovascular diseases has very high clinical value,which can accurately judge the intima thickness,plaque echo and the degree of arterial stenosis of patient.