颈动脉壁厚度预测脑卒中的价值
赵刚,洪玮,邱晓明,王珍
摘要(Abstract):
目的:探讨颈动脉壁厚度(CAWT)对预测脑卒中风险意义。方法:92例受检者根据有无缺血性脑卒中症状分为有症状组和无症状组,应用多排螺旋CT血管造影(MDCTA)检测CAWT,比较两组间CAWT的差异性,logistic回归分析脑卒中症状与CAWT之间的关系,利用ROC曲线确定预测脑卒中的最佳CAWT界值。结果:有症状组CAWT高于无症状组,差异有统计学意义(P<0.05);logistic回归分析显示CAWT与脑卒中呈显著正相关(T=26.875,P<0.010),预测脑卒中ROC分析曲线最佳诊断界值为CAWT≥1.08 mm;CAWT≥1.08 mm患者发生脑卒中的概率比CAWT<1.08 mm患者高出2.14倍。结论:CAWT增加是脑卒中的风险指标,可以作为预测脑卒中风险的一个有效参数。
关键词(KeyWords):
脑梗塞;血管造影术;体层摄影术,X线计算机;颈动脉壁厚度
基金项目(Foundation):
作者(Author):
赵刚,洪玮,邱晓明,王珍
DOI: 10.19367/j.cnki.1000-2707.2014.02.042
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