摘要
目的:观察CT血管造影与磁共振诊断颈内动脉颅内段血管狭窄的价值,对于临床科学有效的诊断颈内动脉颅内段血管狭窄疾病做出重要的指导,提供给患者最佳的治疗时机。方法:本次研究对象为于笔者所在医院实施治疗的82例颈内动脉短暂性脑缺血发作或缺血性脑卒中患者,所有患者均进行CT血管造影、磁共振和数字减影血管造影检测,将数字减影血管造影的检查结果作为金标准,对CT血管造影和磁共振诊断准确率进行分析。结果:82例患者涉及到380段,C1~C3段、C4段、C5段分别是132段、126段及122段。相较于磁共振,实施CT血管造影诊断C4段及C5段的准确率更高,差异有统计学意义(P<0.05)。CT血管造影诊断敏感度及特异性分别为89.25%(181/194)、93.30%(166/186),磁共振诊断敏感度及特异性分别为87.63%(170/194)、80.65%(150/186),两组比较差异有统计学意义(P<0.05)。结论:对颈内动脉颅内段血管狭窄患者展开诊断期间,落实CT血管造影与磁共振诊断时应用CT血管造影诊断效果更好,准确率更高。
Objective:To observe the value of CT angiography and MRI in the diagnosis of intracranial stenosis of internal carotid artery,and to provide important guidance for the clinical scientific and effective diagnosis of intracranial stenosis of internal carotid artery,and to provide the patients with the best opportunity for treatment.Method:The subjects of this study were 82 patients with transient ischemic attack or ischaemic stroke who were treated in our hospital.All the patients were examined by CT angiography,MRI and DSA.The results of DSA were used as the gold standard.The accuracy of CT angiography and MRI was analyzed.Result:A total of 82 patients involved 380 segments,C1-C3 segment,C4 segment and C5 segment were 132 segment,126 segment and 122 segment respectively.Compared with MRI,the accuracy of CT angiography in the diagnosis of C4 and C5 segments was higher,the difference was statistically significant(P<0.05).The sensitivity and specificity of CT angiography were 89.25%(181/194)and 93.30%(166/186),respectively.The sensitivity and specificity of MRI were 87.63%(170/194)and 80.65%(150/186),respectively,the difference between the two groups was statistically significant(P<0.05).Conclusion:During the diagnosis of intracranial stenosis of internal carotid artery,CT angiography is more effective and accurate in the implementation of CT angiography and MRI.
作者
徐敬轩
杨岩
张勖
买买提依里江·木合塔尔
栾新平
XU Jingxuan;YANG Yan;ZHANG Xu;Maimaiti Yilijiang Muhetar;LUAN Xinping(The Second Affiliated Hospital of Xinjiang Medical University,Urumqi 830028,China;不详)
出处
《中外医学研究》
2020年第6期79-81,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
新疆维吾尔自治区自然科学基金项目(项目编号:2019D01C235)。
