超声造影在大动脉炎颈动脉受累患者疾病活动性判断

Assessment of disease activity in patients with carotid artery involvement by contrast-enhanced ultrasound

目的探讨超声造影在大动脉炎颈动脉受累患者疾病活动性判断。方法选取2018年1月至2019年4月在荆门市第一人民医院确诊大动脉炎颈动脉受累的患者共15例,依据临床标准分为活动期组与非活动期组,采用超声造影比较两组造影增强情况。结果活动性组10例患者,病变30个,非活动性组5例患者,病变15个,进一步行超声造影后增厚的动脉管壁呈现不同程度的增强,差异有统计学意义(P<0.05)。结论超声造影判断大动脉炎颈动脉受累的患者疾病活动性有一定参考价值。

Objective To evaluate the activity of carotid artery involvement in patients with arteritis by contrast-enhanced ultrasound.Method Fifteen patients with carotid artery involvement diagnosed in the First People’s Hospital of Jingmen from January 2018 to April 2019 were divided into active group and inactive group according to clinical criteria.Contrast-enhanced ultrasound was used to compare the contrast enhancement between the two groups.Result There were 10 patients in the active group,30 lesions,5 patients in the inactive group and 15 lesions.After further contrastenhanced ultrasound,the thickened arterial wall showed different degrees of enhancement,and the difference was statistically significant(P<0.05).Conclusion Contrast-enhanced ultrasonography is of certain reference value in judging the disease activity of patients with carotid artery involvement in takayasu arteritis.