缺血性脑血管病中颈动脉超声与数字减影血管造影临床应用比较

摘要

Objective To explore the advantages of carotid artery ultrasound and DSA in ischemic cerebral vascular disease. Method 420 patients from March, 2009 to January, 2012 in our hospital were divided into ultrasound and DSA group. The clinical data differences between the two groups were compared. Results The plaque screening rates of ultrasound group was 27.76%higher than that of DSA group. The inspection rate of carotid artery stenosis≥70%patients in DSA group was 15.43%higher than that in ultrasound group. Statistical analysis of the above differences indicated that (P<0.01). 339 patients were diagnosed as atherosclerosis in 420 patients, with 80.71%detection rate. Pathological changes in the left were more than those in the right. BIF accounted for 47.74%, the flat plaques accounted for 49.71%. Conclusion Carotid atherosclerosis is more common in patients with cerebrovascular disease. Carotid inspection can detect plaques as early as possible. As the gold standard, DSA has its great advantage in the patients with high-grade stenosis of carotid.%目的探究在缺血性脑血管病患者中颈动脉超声与数字减影血管造影（DSA）临床应用的优劣。方法截取本院2009年3月至2012年1月共420例患者分为超声组及DSA组，对比两组患者间临床资料差异性。结果超声组斑块检查率较DSA组高27.76%，颈动脉狭窄≥70%患者检出率DSA组较超声组高15.43%，差异具有显著性（P＜0.01）。420例患者共检查出动脉硬化339例，检出率为80.71%，病变左侧较右侧多，颈动脉分叉处（BIF）占47.74%，扁平斑占49.71%。结论颈动脉硬化在脑血管疾病患者中多见，行颈动脉检查可早期发现斑块，DSA为检查金标准，在颈动脉高度狭窄患者中检查更具优势。