| 程令刚,何文,张红霞,蔡文佳,宁彬,田凤兰.超微血管成像评价颈动脉斑块内新生血管[J].中国医学影像技术,2015,31(5):647~650 |
| 超微血管成像评价颈动脉斑块内新生血管 |
| Superb microvascular imaging in evaluation of neovascularization in carotid atherosclerotic plaque |
| 投稿时间：2014-12-31 修订日期：2015-02-25 |
| DOI：10.13929/j.1003-3289.2015.05.002 |
| 中文关键词: 动脉粥样硬化 超声检查 超微血管成像 新生血管 |
| 英文关键词:Atherosclerosis Ultrasonography Superb microvascular imaging Neovascularization |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨超微血管成像(SMI)评价颈动脉斑块内新生血管的价值。方法 随机选取颈动脉粥样硬化斑块患者57例,所有患者均接受常规超声及SMI,其中33例接受CEUS检查,13例接受颈动脉斑块内膜剥脱术(CEA)获得病理结果。评价SMI结果与CEUS及病理结果的一致性。结果 SMI显示斑块内新生血管评分0分11例,1分22例,2分24例。CEUS结果显示新生血管评分0分5例,1分8例,2分20例,SMI与CEUS评分有较好的一致性(Kappa=0.607,P<0.001)。病理检查显示斑块内新生血管评分0分2例,1分5例,2分6例,与SMI有较好的相关性(r=0.75)。结论 SMI可显示斑块内新生血管,对评价颈动脉斑块内新生血管具有重要参考价值。 |
| 英文摘要: |
| Objective To investigate the value of superb microvascular imaging (SMI) in evaluation of the neovascularization in carotid atherosclerotic plaque. Methods Totally 57 patients with carotid atherosclerotic plaque underwent SMI, and 33 patients of them accepted CEUS, 13 patients of them were operated of carotid endarterectomy (CEA). Result of SMI were compared with the result of CEUS and pathology. Results The score of 11 patients about neovascularization in carotid atherosclerotic plaque were 0, 22 patients were 1, 24 patients were 2 by SMI. The score of 5 patients about neovascularization in carotid atherosclerotic plaque evaluated by CEUS were 0, 8 patients were 1, 20 patients were 2, which had good consistance between SMI and CEUS (Kappa=0.607, P<0.001). The score of 2 patients about neovascularization in carotid atherosclerotic plaque evaluated by pathology were 0, 5 patients were 1, 6 patients were 2 by pathology. The result of SMI had good correlation with pathology (r=0.75). Conclusion SMI can evaluate the neovascularization in carotid atherosclerotic plaques, which has great value in evaluating it. |
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