对比分析CVUA、MRA、SCTA联合应用对急性血管性病变诊断结果观察

Comparative analysis of the diagnostic results of CVUA, MRA and SCTA in the diagnosis of acute vascular disease

目的:对比分析急性脑梗死动脉系统采用颈部磁共振血管成像、颈部血管超声和螺旋CT血管造影诊断的效果评价。方法:选取80例急性脑梗死患者,比较其MRA、SCTA与CVUS检查结果。结果:MRA检查的检出率为72.36%,CVUS的颈动脉狭窄检出率为75.25%,SCTA检查的检出率为82.62%,联合检查的检出率为91.26%,显著高于单独诊断的检出率(P <0.05)。MRA、CVUS与SCTA的颈动脉狭窄斑块检出率分别为71.22%、69.71%和77.63%,联合检测的检出率为83.82%,差异明显(P <0.05)。结论:影像学多联合诊断,能够有效提高急性脑梗死颈动脉狭窄程度和斑块的检出率,为临床诊治提供重要的判断依据。

Objective To evaluate the effectiveness of cervical magnetic resonance angiography(MRI),cervical ultrasound and spiral CT angiography in the diagnosis of acute cerebral infarction(ACI)artery system.Methods 80 patients with acute cerebral infarction were examined by MRA,SCTA and CVUS.Results The detection rate of MRA was 72.36%and 75.25%respectively.The detection rate of MRA was 82.62,and the detection rate of combined examination was 91.26%.The detection rate of MRA,CVUS and SC was significantly higher than that of single diagnosis(P<0.05).The detection rate of carotid artery stenosis plaque in TA was 71.22%and 77.63%,respectively,and the detection rate of combined detection was 83.82(P<0.05).Conclusion Multiple imaging combined diagnosis can effectively improve the degree of carotid artery stenosis and the detection rate of plaque in acute cerebral infarction,and provide an important basis for clinical diagnosis and treatment.