2025年4月3日 周四
首页 > 按月查看>2024年第10月 >872-876
PDF 导出
先天性颈内动脉发育不良的超声诊断价值
作者:
作者单位:

(1.内蒙古科技大学包头医学院中心临床医院,内蒙古包头市 014040;2.包头市中心医院神经内科,内蒙古包头市 014040)

作者简介:

戴云跃,硕士研究生,研究方向为血管超声,E-mail:1187637668@qq.com。

基金项目:

内蒙古自治区卫生健康科技计划项目(202201507)；内蒙古医科大学校级联合项目(YKD2021LH065)


Diagnostic value of ultrasound for congenital internal carotid artery hypoplasia
Author:
Affiliation:

1.The Central Clinical Hospital of Baotou Medical College, Inner Mongolia University of Science and Technology,Baotou, Inner Mongolia 014040, China;2.Department of Neurology, Baotou Central Hospital, Baotou, Inner Mongolia 014040, China)

  • 摘要
    • | |
  • 访问统计
    • |
  • 参考文献
    • |
  • 相似文献
    • | |
    摘要:

    目的]探讨先天性颈内动脉发育不良的超声诊断价值。 [方法]回顾性收集2022年7月—2023年12月在包头市中心医院超声诊断为先天性颈内动脉发育不良的患者,记录所有患者一般资料、超声及影像学资料。 [结果]25 317例颈动脉超声检查受检者中有13例患者确诊为先天性颈内动脉发育不良,发生率为0.051%。13例先天性颈内动脉发育不良患者包括11例单侧颈内动脉发育不良和2例双侧颈内动脉发育不良,颈动脉管CT扫描证实13例颈内动脉发育不良患者均为单侧病变,其中2例单侧病变患者超声误诊为双侧病变,误诊率为15%。以CT扫描颈动脉管发育不良为金标准,绘制ROC曲线评价超声对先天性颈内动脉发育不良的诊断价值,曲线下面积(AUC)为0.941,先天性颈内动脉发育不良的最佳诊断界值为3.2 mm,灵敏度为100%,特异度为85%；超声检查方法与CT扫描颈动脉管的金标准检验方法的一致性检验显示Kappa值为0.846。 [结论]超声诊断先天性颈内动脉发育不良有较高的诊断价值,可作为临床首选检查方法。

    Abstract:

    Aim To investigate the value of ultrasound in the diagnosis of congenital internal carotid artery hypoplasia (CICAH). Methods Patients diagnosed with CICAH by ultrasound in Baotou Central Hospital, Inner Mongolia from July 2022 to December 2023 were retrospectively collected. The general data, ultrasound and imaging data of all patients were recorded. Results Among the 25 317 carotid artery ultrasonography subjects, 13 patients were diagnosed as CICAH. The ultrasonic detection rate of CICAH was 0.051%. The 13 cases of CICAH included 11 cases of unilateral internal carotid artery hypoplasia and 2 cases of bilateral internal carotid artery hypoplasia. CT scan of carotid canal confirmed that all 13 cases of internal carotid artery hypoplasia were unilateral lesions, among which 2 cases of unilateral lesions were misdiagnosed as bilateral lesions by ultrasound, with a misdiagnosis rate of 15%. Taking carotid canal dysplasia as the gold standard, ROC curve was plotted to evaluate the diagnostic value of ultrasound in CICAH. The area under the curve (AUC) was 0.941, and the optimal diagnostic threshold value of CICAH was 3.2 mm, sensitivity was 100%, and specificity was 85%. The consistency test between ultrasonic examination and gold standard test method for CT scanning of carotid artery canal showed that Kappa value was 0.846. Conclusion Ultrasound has a high diagnostic value in the diagnosis of CICAH, and can be used as the first choice of clinical examination.

    参考文献
    [1] 杨丽娟, 武佳芳, 李芳, 等.颅外段椎动脉夹层的超声诊断价值.中国超声医学杂志, 0,6(1):1-4.YANG L J, WU J F, LI F, et al.Ultrasound diagnostic value of extracranial vertebral artery dissection.Chin J Ultrasound in Med, 0,6(1):1-4.
    [2] 孙宜永, 闫鹏, 李珊, 等.椎动脉发育不良与急性单发后循环梗死患者梗死部位和椎-基底动脉形态及斑块特征关系的研究.中国脑血管病杂志, 3,0(4):230-8,7.SUN Y Y, YAN P, LI S, et al.Association between vertebral artery hypoplasia and infarct site and vertebrobasilar artery morphology or plaque characteristics in patients with acute single posterior circulation cerebral infarction.Chin J Cerebrovasc Dis, 3,0(4):230-8,7.
    [3] 杨丽娟, 武佳芳.椎动脉发育不良与急性后循环缺血性脑卒中.中华老年心脑血管病杂志, 8,0(1):75-77.YANG L J, WU J F.Association between vertebral artery hypoplasia and acute posterior circulation ischemic stroke.Chin J Geriatr Heart Brain Vessel Dis, 8,0(1):75-77.
    [4] 李子付, 黄清海, 杨志刚, 等.颈内动脉发育异常患者的影像学及临床特征分析(附六例报告).中华神经外科杂志, 5,1(2):196-199.LI Z F, HUANG Q H, YANG Z G, et al.Radiographic and clinical features of internal carotid artery anomalies.Chin J Neurosurg, 5,1(2):196-199.
    [5] AKDEMIR AKTA瘙塁 H, FARIMAZ M, FIRAT A, et al.Rare congenital anomalies of the internal carotid artery:anatomic and radiologic aspects of three cases and review of the literature.Surg Radiol Anat, 0,2(11):1363-1370.
    [6] 谢珊珊, 冉云彩, 王潇, 等.颈内动脉发育异常的高分辨磁共振管壁成像特征.郑州大学学报(医学版), 2,7(6):869-877.XIE S S, RAN Y C, WANG X, et al.Features of internal carotid artery congenital anomalies on high-resolution magnetic resonance vessel wall imaging.J Zhengzhou Univ Med Sci, 2,7(6):869-877.
    [7] 牛军伟, 周晓梅, 袁景林, 等.先天性颈内动脉发育不良患者的临床与影像学特点分析.中华神经医学杂志, 2,1(9):885-890.NIU J W, ZHOU X M, YUAN J L, et al.Clinical and radiological features of patients with hypoplasia of the internal carotid artery.Chin J Neuromedicine, 2,1(9):885-890.
    [8] 宋明慧, 岳云龙, 金延方, 等.磁共振相位对比成像评价永存三叉动脉合并一侧颈内动脉发育不良.临床放射学杂志, 8,7(5):756-759.SONG M H, YUE Y L, JIN Y F, et al.Blood flow in persistent primitive trigeminai arterty with internal carotid artery stenosis:evaluate with phase contrast MR.J Clin Radiol, 8,7(5):756-759.
    [9] TA瘙塁AR M, YETI瘙塁ER S, TA瘙塁AR A, et al.Congenital absence or hypoplasia of the carotid artery:radioclinical issues.Am J Otolaryngol, 4,5(5):339-349.
    [10] IDE C, DE COENE B, MAILLEUX P, et al.Hypoplasia of the internal carotid artery:a noninvasive diagnosis.Eur Radiol, 0,0(12):1865-1870.
    [11] MUTH G, BABAIE A, JOHNSON A, et al.Congenital agenesis of the internal carotid artery.Intern Med J, 2,2(6):1101-1102.
    [12] WHITLEY H, ZAZAY A, SKALICKY＇ P, et al.Congenital internal carotid artery hypoplasia:a systematic review.Neuroradiol J, 3,6(1):5-16.
    [13] 国家卫生计生委脑卒中防治工程委员会.中国脑卒中血管超声检查指导规范.中华医学超声杂志(电子版), 5,2(8):599-610.Stroke Prevention and Treatment Engineering Committee of the National Health and Family Planning Commission.Guidelines for vascular ultrasound examination of stroke in China.Chin J Med Ultrasound (Electronic Edition), 5,2(8):599-610.
    [14] 国家卫生健康委员会脑卒中防治专家委员会血管超声专业委员会, 中国超声医学工程学会浅表器官及外周血管超声专业委员会, 中国超声医学工程学会颅脑及颈部血管超声专业委员会.头颈部血管超声若干问题的专家共识(颈动脉部分).中国脑血管病杂志, 0,7(6):346-352.National Health Commission Stroke Prevention and Treatment Expert Committee Vascular Ultrasound Professional Committee, Superficial Organ and Peripheral Vascular Ultrasound Professional Committee of the Chinese Society of Ultrasound Medical Engineering, The Brain and Neck Vascular Ultrasound Professional Committee of the Chinese Society of Ultrasound Medical Engineering.Expert consensus on some problems of cerebral and carotid vascular ultrasonography (Part of carotid).Chin J Cerebrovasc Dis, 0,7(6):346-352.
    [15] CHEN P Y, LIU H Y, LIM K E, et al.Internal carotid artery hypoplasia:role of color-coded carotid duplex sonography.J Ultrasound Med, 5,4(10):1839-1851.
    [16] 郑福浩, 乔晓红.双侧颈内动脉发育异常:1例报道并文献复习.国际脑血管病杂志, 3,1(9):717-720.ZHENG F H, QIAO X H.Congenital dysplasia of bilateral internal carotid artery:a case report and review of the literature.Int J Cerebrovasc Dis, 3,1(9):717-720.
    [17] 宋殿行, 郭鹏, 杨新国, 等.颈内动脉发育不良的CT诊断.临床放射学杂志, 9,8(1):58-62.SONG D H, GUO P, YANG X G, et al.MDCT detection of hypoplasia of the internal carotid artery.J Clin Radiol, 9,8(1):58-62.
    [18] BAZ R A, SCHEAU C, NISCOVEANU C, et al.Morphometry of the entire internal carotid artery on CT angiography.Medicina (Kaunas), 1,7(8):832.
    引证文献
引用本文

戴云跃,杨丽娟.先天性颈内动脉发育不良的超声诊断价值[J].中国动脉硬化杂志,2024,32(10):872~876.

复制
分享
文章指标
  • 点击次数:56
  • 下载次数: 269
历史
  • 收稿日期:2024-02-22
  • 最后修改日期:2024-04-17
  • 在线发布日期: 2024-10-22

您是本站第 4759201 访问者

邮编：421001 传真：0734-8160523

电话：0734-8160765 E-mail：dmzzbjb@163.net

中国动脉硬化杂志 ® 2025 网站版权所有