Abstract：Objective: To investigate the diagnostic effect and imaging features of carotid CTA and ultrasound in patients with arterial plaque and stenosis. Methods: Eighty patients with carotid atherosclerosis and stenosis were enrolled in our hospital from September 2018 to September 2019. All patients underwent carotid ultrasound and CTA so as to determine the accuracy of plaque and stenosis, as well as its imaging characteristics. Results: There were 160 carotid arteries in 80 patients. The diagnostic yields of the two methods were both 68.75% and the agreement was 100%. There was no significant difference between the two methods in the classification of soft plaques and mixed plaques (P> 0.05), and the difference in calcified plaque was statistically significant (P＜0.05); the diagnostic yields of carotid ultrasound and CTA for vulnerable plaque was 50.00% and 36.36%, respectively, and the difference was statistically significant (P＜0.05); There was no significant difference in the classification of carotid stenosis between the two methods (P>0.05). Conclusion: Carotid ultrasound and CTA have advantages in the nature and extent of carotid plaque. Reasonable application of two detection methods can improve the diagnostic accordance rate.
李韩建, 陈春美, 徐钐, 王小龙. 颈动脉CTA和超声在动脉斑块和狭窄患者中的诊断效果及影像学特点[J]. 河北医学, 2020, 26(7): 1084-1087.
LI Hanjian, CHEN Chunmei, XU Shan, et al. The Effect of Carotid CTA and Ultrasound in Arterial Plaque and Stenosis Diagnosis and the Imaging Feature. HeBei Med, 2020, 26(7): 1084-1087.
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2020, Vol. 26 
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