| 王瑞琪,张惠婷,孙云凤,贾振蛟,董湘如,杨蕙遥,孙蕊,王冰洁,吴长君,张春梅.受累于多发性大动脉炎的颈总动脉炎症活动期显微超声造影(SR CEUS)表现[J].中国医学影像技术,2026,42(6):825~828 |
| 受累于多发性大动脉炎的颈总动脉炎症活动期显微超声造影(SR CEUS)表现 |
| Super resolution contrast-enhanced ultrasound (SR CEUS) characteristics of involved common carotid artery in active phase of Takayasu arteritis |
| 投稿时间：2025-11-29 修订日期：2026-05-15 |
| DOI：10.13929/j.issn.1003-3289.2026.06.003 |
| 中文关键词: 多发性大动脉炎 颈总动脉 疾病严重程度指数 超声检查 显微超声造影 |
| 英文关键词:Takayasu arteritis carotid artery, common severity of illness index ultrasonography super resolution contrast-enhanced ultrasound |
| 基金项目: |
| 作者 | 单位 | E-mail | | 王瑞琪 | 哈尔滨医科大学附属第一医院超声科, 黑龙江 哈尔滨 150001 | | | 张惠婷 | 哈尔滨医科大学附属第一医院超声科, 黑龙江 哈尔滨 150001 | | | 孙云凤 | 哈尔滨医科大学附属第一医院超声科, 黑龙江 哈尔滨 150001 | | | 贾振蛟 | 哈尔滨医科大学附属第一医院超声科, 黑龙江 哈尔滨 150001 | | | 董湘如 | 哈尔滨医科大学附属第一医院超声科, 黑龙江 哈尔滨 150001 | | | 杨蕙遥 | 哈尔滨医科大学附属第一医院超声科, 黑龙江 哈尔滨 150001 | | | 孙蕊 | 哈尔滨医科大学附属第一医院超声科, 黑龙江 哈尔滨 150001 | | | 王冰洁 | 哈尔滨医科大学附属第一医院超声科, 黑龙江 哈尔滨 150001 | | | 吴长君 | 哈尔滨医科大学附属第一医院超声科, 黑龙江 哈尔滨 150001 | | | 张春梅 | 哈尔滨医科大学附属第一医院超声科, 黑龙江 哈尔滨 150001 | 600773@hrbum.edu.cn |
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| 中文摘要: |
| 目的 观察受累于多发性大动脉炎(TAK)的颈总动脉炎症活动期显微超声造影(SR CEUS)表现。方法 回顾性纳入10例TAK累及颈总动脉患者,按TAK临床活动性评估标准分为活动期组(5例,10支受累动脉)与非活动期组(5例,9支受累动脉)。比较常规超声、超声造影(CEUS)及SR CEUS表现。结果 组间常规超声参数差异均无统计学意义(P均＞0.05)。组间CEUS开始增强时间差异有统计学意义(P＜0.05),而达峰时间差异无统计学意义(P＞0.05)。活动期组微血管最大速度、平均速度、中值速度及血管密度均高于非活动期组(P均＜0.05);组间微血管内径、间距及血流复杂度差异均无统计学意义(P均＞0.05)。结论 受累于TAK的颈总动脉炎症活动期SR CEUS所示微血管流速及血管密度均升高。 |
| 英文摘要: |
| Objective To observe super resolution contrast-enhanced ultrasound (SR CEUS) characteristics of the involved common carotid artery in active phase of Takayasu arteritis (TAK). Methods Ten patients with TAK involving the common carotid arteries were retrospectively included. According to the clinical activity assessment criteria for TAK, the patients were divided into the active phase group (5 cases, 10 involved arteries) and the inactive phase group (5 cases, 9 involved arteries). Clinical data, conventional ultrasound, contrast-enhanced ultrasound (CEUS), and SR CEUS data were collected and compared between groups. Results No significant difference was observed in any of the conventional ultrasound parameters between the two groups (all P＞0.05). Significant difference was found in the time to enhancement on CEUS between the two groups (P＜0.05), whereas no significant difference was found in the time to peak (P＞0.05). The microvascular maximum velocity, mean velocity, median velocity and vessel density in active phase group were all significantly higher than those in inactive phase group (all P＜0.05). There were no significant differences in microvascular inner diameter, spacing or blood flow complexity between groups (all P＞0.05). Conclusion In involved common carotid artery in active phase of TAK, both microvascular flow velocity and vessel density on SR CEUS were elevated. |
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