检验医学与临床2018，Vol.15Issue(10)：1399-1402,4.DOI:10.3969/j.issn.1672-9455.2018.10.008
TCD联合M RA检测在短暂性脑缺血治疗前后的应用价值
The value of TCD combined with MRA Detection in the treatment transient ischemic attack
何明 1马飞月 1曹凌浩1
作者信息
- 1. 上海交通大学医学院附属瑞金医院卢湾分院神经内科,上海200020
- 折叠
摘要
Abstract
Objective To evaluate the value of TCD combined with MRA in the treatment of transient is-chemic stroke(TIA)before and after treatment.Methods Selected from April 2015 to March 2017 in our hospital neurology diagnosis and treatment of 80 cases of TIA patients as the object of observation,magnetic resonance imaging(MRA)and transcranial Doppler(TCD)were performed respectively,contrast analysis of the test results,explore the clinical value of combined detection before and after TIA patient treatment. Results M RA examination of 80 patients detected 68 cases of vascular stenosis or occlusion of the artery a to-tal of 166 branches.Intracranial and extracranial arterial lesions accounted for 26.25%(21/80),intracranial and extracranial vascular lesions accounted for 28.75%(23/80);a total of 80 cases of transient brain deficien-cy Blood samples were detected by TCD,a total of 71 cases of vascular lesions were detected,TCD were exam-ined 876 blood vessels,684 normal blood vessels,arterial stenosis or occlusion lesions 192,M RA results as a standard,TCD detection sensitivity of 70.48%,Specificity of 89.44%.The positive rate of TCD combined with MRA was 98.75%(79/80)significantly higher than 85%(68/80)of MRA and 88.75%(71/80)of TCD.Conclusion TCD combined with MRA can be an objective accurate evaluation of the causes of TIA pa-tients,to provide a basis for clinical treatment,treatment can be assessed after the treatment effect.In the clin-ical diagnosis and treatment has a high value.关键词
磁共振血管成像/经颅多普勒/短暂性脑缺血发作Key words
magnetic resonance angiography/trans-cranial doppler/transient ischemic attack分类
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何明,马飞月,曹凌浩..TCD联合M RA检测在短暂性脑缺血治疗前后的应用价值[J].检验医学与临床,2018,15(10):1399-1402,4.
