头颈部CTA和颈部血管彩超联合检测脑梗死颈动脉狭窄的价值

The Value of Combined Detection of Head and Neck CTA and Cervical Vascular Ultrasound in Detecting Carotid Artery Stenosis in Cerebral Infarction

目的分析脑梗死颈动脉狭窄采用头颈部CTA(CT血管造影)和颈部血管彩超联合检测的应用价值。方法选取2018年1—5月来该院诊断的270例脑梗死患者为研究对象,均行头颈部CTA检查与颈部血管彩超检查,对比单独头颈部CTA检测、颈部血管彩超以及两者联合检测血管狭窄的诊断结果。结果该研究中所有患者均顺利完成检查,检查过程中没有不良反应出现;CTA检测血管狭窄的检出率为84.44%,颈部血管彩超为80.37%,差异无统计学意义(χ^2=1.060,P>0.05);CTA+颈部血管彩超诊断血管狭窄的检出率为94.07%,高于CTA(84.44%)与颈部血管彩超(80.37%),差异有统计学意义(χ^2=8.557、10.229,P<0.05)。结论脑梗死颈动脉狭窄采用头颈部CTA(CT血管造影)和颈部血管彩超联合检测的应用价值显著。

Objective To analyze the value of combined detection of head and neck CTA (CT angiography) and cervical vascular ultrasonography in carotid artery stenosis. Methods A total of 270 patients with cerebral infarction diagnosed in this hospital from January to May 2018 were enrolled in the study. All patients underwent head and neck CTA ex-amination and cervical vascular ultrasonography. The CTA test of the head and neck and cervical vascular ultrasonog-raphy and the combined diagnosis of vascular stenosis were compared. Results All patients in this study successfully completed the examination. No adverse reactions occurred during the examination. The detection rate of CTA for vascu-lar stenosis was 84.44%, and the vascular ultrasonography of the neck was 80.37%. The difference was not statistically significant (χ2 =1.060, P>0.05);The detection rate of CTA+ cervical vascular ultrasound diagnosis of vascular stenosis was 94.07%, higher than CTA (84.44%) and cervical vascular ultrasonography (80.37%), the difference was statistically significant (χ^2 =8.557, 10.229, P<0.05). Conclusion Cervical artery stenosis in cerebral infarction has significant value in the combined detection of head and neck CTA (CT angiography) and cervical vascular ultrasound.