TCD与MRA诊断大脑中动脉闭塞后再通的一致性分析Consistency analysis of recanalization after middle cerebral artery occlusion diagnosed by TCD and MRA
王军杰;李兆妍;吕爱红;
摘要(Abstract):
目的观察颅多普勒(TCD)和磁共振血管成像(MRA)在缺血性脑卒中患者静脉溶栓治疗(IVT)后诊断MCA闭塞后再通的一致性。方法 IVT后24 h内对入组患者进行TCD和MRA检查,并对MCA的再通情况进行配对等级资料的Kappa一致性检验。结果 TCD和MRA对于患者IVT后血流分级的诊断一致性良好(K=0.852,P=0.000)。结论 TCD在对于血管狭窄及闭塞的诊断上准确率高,便于动态观察,在IVT诊疗过程中能得到广泛应用。
关键词(KeyWords): 经颅多普勒;磁共振血管成像;静脉溶栓;大脑中动脉;血管再通
基金项目(Foundation):
作者(Authors): 王军杰;李兆妍;吕爱红;
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