| 吴汝虹,王秀艳,刘贞庆,冯德喜,娜日苏.超声造影与B型超声对人颈动脉内膜-中层厚度及斑块的诊断价值分析[J].,2023,(17):3349-3353 |
| 超声造影与B型超声对人颈动脉内膜-中层厚度及斑块的诊断价值分析 |
| Diagnostic Value of Contrast-enhanced Ultrasound and B-mode Ultrasound in Human Carotid Artery Intima-media Thickness and Plaque |
| 投稿时间：2023-02-04 修订日期：2023-02-28 |
| DOI：10.13241/j.cnki.pmb.2023.17.029 |
| 中文关键词: 超声造影 B型超声 颈动脉内膜-中层厚度 斑块 诊断价值 |
| 英文关键词: Contrast-enhanced ultrasound B-mode ultrasound Carotid artery intima-media thickness Plaque Diagnostic value |
| 基金项目:内蒙古自治区科技计划项目（2022YFSH0121）；内蒙古自治区人民医院院内基金项目（2020YN14） |
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| 中文摘要: |
| 摘要 目的：探讨超声造影（CEUS）与B型超声在诊断人颈动脉内膜-中层厚度（CIMT）及斑块中的临床应用价值。方法：选取2018年10月至2022年12月内蒙古自治区人民医院健康体检者142例，均行颈动脉B型超声和CEUS成像检查。记录左右侧颈动脉各分段点CIMT近壁和远壁值，然后取平均值。采用半定量的方法进行评分，以确定在B型超声和CEUS成像过程中的CIMT可视化。比较B型超声和CEUS成像技术对斑块检出的差异。根据CIMT平均值进行进一步分组，分析CIMT与亚临床左心功能障碍之间的关系。结果：在B型超声成像上，左右侧颈动脉CIMT远壁的可视化评分均明显高于CIMT近壁，差异有统计学意义（P＜0.05）；在CEUS成像上，左右侧颈动脉CIMT远壁的可视化评分均高于CIMT近壁，差异有统计学意义（P＜0.05）。与B型超声成像模式对比，在CEUS成像模式中左右侧颈动脉CIMT远壁和近壁的可视化评分均得到显著提高，差异有统计学意义（P＜0.05）。142例健康体检者中，B型超声总共检测出271个斑块，CEUS总共检测出293个斑块，斑块检出率组间比较差异有统计学意义（P＜0.05）。随着CIMT平均值的逐渐增大，LVM逐渐减小，LVGLS逐渐增大，差异有统计学意义（P＜0.05）。CIMT平均值的大小与LVEDD、LVESD和LVEF差异无统计学意义（P＞0.05）。结论：CEUS改善了CIMT的可视化，并能更好地检测出颈动脉斑块（主要为低回声斑块），对预测心血管疾病的发生有一定临床价值。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the clinical application value of contrast-enhanced ultrasound (CEUS) and B-mode ultrasound in the diagnosis of human carotid intima-media thickness (CIMT) and plaque. Methods: 142 cases of healthy physical examinees in Inner Mongolia Autonomous Region People's Hospital from October 2018 to December 2022 were selected, all subjects underwent carotid artery B-mode ultrasound and CEUS imaging. CIMT near wall and far wall values were recorded at each segmental point of the left and right carotid arteries, and then averaged. A semi-quantitative approach was used to determine CIMT visualization during B-mode ultrasound and CEUS imaging. Compared the difference in plaque detection between B-mode ultrasound and CEUS imaging. Further groupings were performed according to the mean value of CIMT, and the relationship between CIMT and subclinical left ventricular dysfunction was analyzed. Results: In B-mode ultrasound imaging, the visualization scores of CIMT far wall of left and right carotid arteries were significantly higher than those of CIMT near wall, the difference being statistically significant(P<0.05). In CEUS imaging, the visual scores of CIMT far wall of the left and right carotid arteries were higher than those of CIMT near wall, with statistically significant differences(P<0.05). Compared with B-mode ultrasound imaging mode, the visualization scores of the CIMT far and near walls of the left and right carotid arteries in CEUS imaging mode were significantly improved, with statistically significant differences(P<0.05). Among 142 healthy individuals undergoing physical examination, B-mode ultrasound detected a total of 271 plaques, while CEUS detected a total of 293 plaques, the difference in plaque detection rate between groups was statistically significant (P<0.05). With the increasing CIMT average value, LVM decreased and LVGLS increased, and the difference was statistically significant (P<0.05). There was no significant difference between CIMT mean value and LVEDD, LVESD and LVEF (P>0.05). Conclusion: CEUS has improved CIMT visualization and better detection of carotid plaques (mainly hypoechoic plaques), which has certain clinical value in predicting the occurrence of cardiovascular diseases. |
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