【摘要】 目的探讨彩超联合磁共振成像(MRA)和CT血管成像(CTA)在颈部动脉粥样硬化性狭窄患者中的诊断效果及价值。方法选择2016年至2017年12月入院治疗的颈部动脉粥样性狭窄患者60例,所有患者均经过手术病理检查最终得到确诊,手术前患者均行彩超、MRA、CTA检查,将彩超、MRA、CTA检查结果与手术结果比较,采用受试者工作特征(ROC)曲线分析彩超联合MRA和CTA在颈部动脉粥样硬化性狭窄患者中的诊断效能。结果彩超联合MRA和CTA最终确诊59例,符合率为98.33%(P>0.05);彩超联合MRA和CTA检测诊断敏感性、特异性,均高于单一彩超、MRA和CTA检查(P<0.05)。结论将彩超联合MRA和CTA用于颈部动脉粥样硬化性狭窄患者中效果理想,值得推广应用。更多还原

【Abstract】 Objective To investigate the diagnostic value and value of color Doppler ultrasound combined magnetic resonance imaging(MRA) and CT angiography(CTA) in patients with atherosclerotic stenosis in the neck. Methods Sixty patients with atherosclerotic cervical stenosis who were admitted to hospital from 2016 to December of 2017 were selected. All patients were confirmed by surgical pathological examination. The patients were examined by color Doppler ultrasound,MRA,and CTA before operation. The results of MRA and CTA examinations were compared with the results of the surgery. ROC curves were used to analyze the diagnostic efficacy of color Doppler ultrasonography combined with MRA and CTA in patients with atherosclerotic stenosis in the neck. Results Fifty-nine cases were diagnosed with color Doppler ultrasound combined with MRA and CTA,the coincidence rate was 98.33%(P>0.05). The sensitivity and specificity of color Doppler ultrasound combined with MRA and CTA were higher than those of single color ultrasonography,MRA,and CTA(P<0.05). Conclusion The use of color Doppler ultrasound combined with MRA and CTA is ideal for patients with atherosclerotic stenosis in the neck and is worthy of popularization and application.更多还原