高血压合并颈动脉粥样硬化患者的超声与CT诊断探讨

Analysis of ultrasound and CT diagnosis of hypertension and carotid ather-osclerosis patients

目的:初步探讨多层螺旋CT血管造影(CTA)与彩色多普勒超声对评估高血压合并颈动脉粥样硬化患者的临床应用价值。方法:对32例高血压合并颈动脉粥样硬化患者进行多层螺旋CT血管造影,并与颈动脉血管彩色多普勒超声比较。结果:本组32例患者共检查80条颈动脉,两种检查结果一致性为75.0%,其中在对斑块形成的检查一致性为100%。结论:超声与CT诊断都是临床诊断颈动脉硬化的无创性检查手段,一致性较好,都值得临床推广。

Objective： To investigate the value of multi slice spiral CT angiography （CTA） and color Doppler ultrasound assessment of hypertension and carotid atherosclerosis in patients. Methods： 32 patients with hypertension assessed carotid atherosclerosis were detected by the spiral CT angiography, and compared to the carotid artery with color Doppler ultra sound. Results： There were 80 carotid arteries were detected in the 32 patients, the two detect agreement results was 75.0% which the consistency of the plaque detecting was 100%. Conclusion： Ultrasound and CT are the noninvasive methods for clinical diagnosis of carotid atherosclerosis which have good agreement, there are worthy to be popularized.