DSA在缺血性脑卒中患者颈部血管狭窄中的诊断与介入治疗效果研究

Study on the Diagnosis and Interventional Treatment Effect of DSA in Neck Vascular Stenosis of Ischemic Stroke Patients

目的:研究分析缺血性脑卒中颈部血管狭窄以减影血管造影(DSA)技术进行检查对疾病诊断作用及介入治疗效果影响作用。方法:选择2022年1月~2023年12月就诊本院患缺血性脑卒中疑似颈部血管狭窄患者200例,采用DSA技术对其行疾病检查,检查后做疾病诊断效能分析。依据检查结果实施介入治疗,分析患者疾病治疗效果。结果:颈部血管狭窄诊断情况统计,与金标准(临床综合诊断)相比,DSA诊断颈部血管不同程度狭窄均有较高诊断效能(P>0.05)。行介入治疗后,将DSA检查前、后患者颈部血管狭窄程度进行比较,可见患者颈部血管狭窄程度有较为显著改善(P<0.05)。结论:缺血性脑卒中患者颈部血管狭窄,DSA检查的实施能够将患者颈部血管狭窄程度做到精准检出,且患者经介入治疗后,其颈部血管狭窄程度可得到较为明显改善。

Objective:To study and analyze the diagnostic role of subtractive angiography(DSA)technology in ischemic stroke neck vascular stenosis and its impact on the effectiveness of interventional treatment.Methods:200 patients with suspected neck vascular stenosis of ischemic stroke were treated in our hospital from January 2022 to December 2023.DSA technology was used to perform disease examinations on them,and the diagnostic efficacy of the disease was analyzed after the examination.Implement interventional treatment based on the examination results and analyze the therapeutic effect of the patient’s disease.Results:Statistics on the diagnosis of cervical vascular stenosis showed that compared to the gold standard(clinical comprehensive diagnosis),DSA had higher diagnostic efficacy in diagnosing different degrees of cervical vascular stenosis(P>0.05).After interventional treatment,the degree of cervical vascular stenosis in patients before and after DSA examination was compared,and it was found that the degree of cervical vascular stenosis in patients had significantly improved(P<0.05).Conclusion:The implementation of DSA examination can accurately detect the degree of neck vascular stenosis in patients with ischemic stroke,and the degree of neck vascular stenosis can be significantly improved after interventional treatment.