| 摘要: |
| 【】 目的 探讨超声造影评估脑梗死与非脑梗死患者颈动脉滋养血管新生特点及其一致性。 方法 对47例脑梗死患者和18例非脑梗死患者双侧颈动脉进行超声造影检查,对颈动脉滋养血管进行分级并进行一致性评估。 结果 脑梗死患者梗死侧颈动脉滋养血管以I级为主,与脑梗死非梗死侧和非脑梗死双侧颈动脉滋养血管分级差异明显(P分别为0.0104,0.0005,0.0085),而非脑梗死和脑梗死非梗死侧颈动脉滋养血管以0级为主,三者间分级差异无统计学意义(P分别为0.4795,0.2425,0,6889)；入选者I级滋养血管患者中脑梗死的比例明显高于0级滋养血管患者(P=0.0001)；以颈动脉滋养血管I级为标准评价脑梗死的敏感性和特异性分别为72.3%,61.5%(AUC=0.669),受试者之间评估颈动脉滋养血管新生的一致性均较佳。 结论 脑梗死与非脑梗死的颈动脉滋养血管分级差异明显,颈动脉滋养血管分级是预测脑梗死的一个有效指标。 |
| 关键词: |
| DOI： |
| 投稿时间：2017-02-21修订日期：2017-04-05 |
| 基金项目: |
|
| The characteristics and its agreement of vasa vasorum angiogenesis of carotid artery in patients with and without cerebral infarction by contrast-enhanced ultrasonographyWu Wu-long1, Song Ze-zhou2, Zhang Yan-ming2, Fu Yan-fei3, Geng Yu2,Tang Jing-lan2, Wang Jing2. |
| wuwulong |
| () |
| Abstract: |
| 【】 Objective To evaluate the characteristics and its agreement of vasa vasorum angiogenesis of carotid artery in patients with and without cerebral infarction by contrast-enhanced ultrasonography. Methods 47 patients with cerebral infarction and 18 controls were studied by contrast enhanced ultrasonography. The grade of vasa vasorum angiogenesis of carotid artery was analysed and the agreement was studied. Results The grade is always I in the side of infarction in patients with cerebral infarction and there significantly are the differences of the grade of vasa vasorum angiogenesis of carotid artery compared with the side of non-infarction in patients with cerebral infarction and the controls. The grade is always 0 in the side of non-infarction in patients with cerebral infarction and the controls and there are no differences among the above-mentioned three ones. The ratio of cerebral infarction in the grade I was significantly higher than that in the grade 0. The sensitivity and specificity for grade of vasa vasorum angiogenesis of carotid artery ( cutoff value>grade 0) were 72.3％and 61.5％respectively. Interobserver agreement was pretty good. Conclusion There significantly are the differences of the grade of vasa vasorum angiogenesis of carotid artery in patients with cerebral infarction compared with patients with non-cerebral infarction and the grade of vasa vasorum angiogenesis of carotid artery is a valid indicator to anticipate cerebral infarction. |
| Key words: |
