| 摘要: |
| 目的：探究超声量化视神经鞘直径(ONSD)及斑块特征预测缺血性脑卒中不良事件发生的价值。方法：选取本院2021年12月至2022年10月收治的38例存在缺血性脑卒中患者,两组患者均予以血管内治疗,记录两组患者一般资料,按治疗后是否出现不良事件将患者纳入不良事件(8例)、对照组(30例)。结果：不良事件组患者ONSD、偏心指数、斑块面积、斑块长度、强化幅度均显著高于对照组患者(P＜0.05)；Logistic回归分析结果显示ONSD、偏心指数、斑块面积、斑块长度、强化幅度均为患者预后的独立影响因素(P＜0.05)；单一ONSD、偏心指数、斑块面积、斑块长度、强化幅度预测患者预后斑块长度AUC值最高,以5.47为临界值,其预测患者预后的敏感度、特异度分别为100.00%、96.67%；斑块长度的AUC值显著高于斑块面积的AUC值(P＜0.05),斑块长度的AUC值显著高于强化幅度的AUC值(P＜0.05)。结论：ONSD及斑块特征对缺血性脑卒中患者血管内治疗后不良事件发生具有良好的预测价值,该检测方式具有临床应用价值。 |
| 关键词: 缺血性脑卒中 超声 视神经鞘直径 斑块特征 |
| DOI： |
| 投稿时间：2022-11-08修订日期：2022-12-08 |
| 基金项目: |
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| Predictive value of optic nerve sheath diameter of ultrasound quantification and plaque characteristics for adverse events in ischemic stroke |
| zhaoyujun |
| (Qianjiang District Hospital of traditional Chinese medicine) |
| Abstract: |
| Objective: To explore the predictive value of optic nerve sheath diameter (ONSD) of ultrasound quantification and plaque characteristics for adverse events in ischemic stroke. Methods: A total of 38 patients with ischemic stroke admitted to the hospital were enrolled between December 2021 and October 2022. All were given endovascular treatment, and general data of patients were recorded. According to presence or absence of adverse events after treatment, they were divided into adverse event group (8 cases) and control group (30 cases). Results: ONSD, eccentricity index, plaque area, plaque length and enhancement amplitude in adverse event group were significantly higher than those in control group (P<0.05). The results of Logistic regression analysis showed that ONSD, eccentricity index, plaque area, plaque length and enhancement amplitude were independent influencing factors of prognosis (P<0.05). In single detection, AUC of plaque length for predicting prognosis was the greatest. Taking 5.47 as the cut-off value, its sensitivity and specificity were 100.00% and 96.67%, respectively. AUC of plaque length was significantly greater than that of plaque area (P<0.05), and AUC of plaque length was significantly greater than that of enhancement amplitude (P<0.05). Conclusion: ONSD and plaque characteristics have good predictive value for adverse events in patients with ischemic stroke after intravascular treatment. |
| Key words: Ischemic stroke Ultrasound Optic nerve sheath diameter Plaque characteristic |
