So sánh giá trị của siêu âm doppler xuyên sọ và cộng hưởng từ mạch não trong chẩn đoán hẹp động mạch nội sọ do xơ vữa trên bệnh nhân nhồi máu não cấp=Comparison of the value of transcranial ultrasound and brain magnetic resonance in the diagnosis due to atherosclerosis in patients with acute cerebral infarction

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Tiến Trọng Nghĩa Hoàng, Minh Đăng Lê, Trọng Duy Mai, Thị Thu Ngân Phạm

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.34-42

Bộ sưu tập: Metadata

ID: 242226

Thêm vào giỏ

Compare the value of transcranial ultrasound (TCD) and cerebral magnetic resonance angiography (MRA) in the diagnosis of atherosclerotic intracranial artery stenosis in patients with acute cerebral infarction. Methods: Cross-sectional case series study conducted at the Department of Neurology, Military Hospital 175, from June 2022 to June 2023, participants were patients diagnosed with acute cerebral infarction and under the tent. Patients who meet the sampling criteria will have TCD and MRA done with the time interval between these two techniques not exceeding 24 hours. We evaluated the sensitivity, specificity, negative predictive value, positive predictive value, and Kappa index of TCD compared with MRA. Results: We enrolled 227 patients with acute cerebral infarction and intracranial artery stenosis. Sensitivity, specificity, negative predictive value, positive predictive value, Kappa index of TCD with MRA respectively on arteries. Middle cerebral artery MCA were 98.9%, 97.7%, 99.2%, 96.8%, 0.8
anterior cerebral artery 100%, 99.5%, 100%, 94.4%, 0.82
intracranial internal carotid artery 96.1%, 99.4%, 98.8%, 98%, 0.75
posterior cerebral artery 100%, 99.5%, 100%, 93.7%, 0.82
vertebral artery 95.6%, 99.5%, 99.5%, 95.6%, 0.75
basilar artery 95.2%, 99.5%, 99.5%, 95.2%, 0.78. Conclusion: Using transcranial ultrasound technique to diagnose intracranial artery stenosis and monitor intracranial artery stenosis is a safe, inexpensive, non-invasive method with relatively high accuracy compared to other methods. MRA.So sánh giá trị của siêu âm doppler xuyên sọ (TCD) và cộng hưởng từ mạch máu não (MRA) trong chuẩn đoán hẹp động mạch nội sọ do xơ vữa ở bệnh nhân nhồi máu não cấp. Phương pháp: Nghiên cứu loạt ca mô tả cắt ngang thực hiện tại khoa Nội Thần kinh, bệnh viện Quân Y 175, từ tháng 6 năm 2022 đến tháng 6 năm 2023, người tham gia là bệnh nhân được chẩn đoán nhồi máu não cấp trên và dưới lều. Bệnh nhân đủ tiêu chuẩn chọn mẫu sẽ được làm TCD và MRA với khoảng cách thời gian giữa 2 kỹ thuật này không quá 24giờ. Đánh giá độ nhậy, độ đặc hiệu, giá trị tiên đoán âm tính và dương tính, chỉ số Kappa của TCD so với MRA. Kết quả: Trên 227 bệnh nhân nhồi máu não cấp có hẹp động mạch nội sọ. Độ nhậy, độ đặc hiệu, giá trị tiên đoán âm, giá trị tiên đoán dương, chỉ số Kappa của TCD với MRA lần lượt trên các động mạch. Động mạch não giữa (MCA) là 98.9%, 97.7%, 99.2%, 96.8%, 0.8
đ ộng mạch não trước 100%,99.5%,100%,94.4%,0.82
động mạch cảnh trong đoạn nội sọ 96.1%, 99.4%, 98.8%, 98%, 0.75
động mạch não sau 100%, 99.5%, 100%, 93.7%, 0.82
động mạch đốt sống 95.6%, 99.5%, 99.5%, 95.6%, 0.75
động mạch thân nền 95.2%, 99.5%, 99.5%, 95.2%, 0.78. Kết luận: Sử dụng kỹ thuật siêu âm xuyên sọ trong chẩn đoán hẹp và theo dõi tình trạng hẹp động mạch nội sọ là phương pháp an toàn, rẻ tiền, không xâm lấn, độ chính xác tương đối cao so với MRA.

1. Đọc trực tuyến

1. Đọc trực tuyến

Tạo bộ sưu tập với mã QR