超声、CTA、MRA 与颈动脉斑块病理对照研究对颈动脉内膜剥脱
摘要
导颈动脉内膜剥脱术前检查选择具有临床意义。【方法】通过选取昆山市第一人民医院和复旦大学附属中山医院在 2020 年
10 月至 2022 年 10 月收治的 26 名颈动脉狭窄患者作为研究对象 , 患者术前已完善血管超声、CTA、MRA 检查 , 并全部进
行颈动脉内膜剥脱手术 , 术后进行颈动脉斑块病理检查。分析超声、CTA、MRA 检查与病理检查的特异性（SPE）和灵敏
度（SEN）。[ 结果 ] 超声对颈动脉斑块形态、性质的特异性、灵敏度分别为：60%，83.3%；CTA 对斑块的形态、性质的
特异性、灵敏度分别为：75%，90.91%；MRI 的结果分别为 85.71%，95.24%。【结论】MRA 检查与术后病理结果具有较
好的特异性和灵敏度 , 对术前颈动脉斑块的诊断具有指导作用 , 对选择手术方式和药物治疗具有临床价值。
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