摘要
目的探讨高频彩超对脑梗死患者颈动脉粥样硬化的临床诊断价值.方法：选择我院150 例脑梗死患者（脑梗死组）,另随机抽取150 例来我院体检的相应年龄的非脑梗死患者（对照组）.用高频彩超对两组患者进行颈动脉检查,观察其颈动脉粥样硬化斑块的检出率及斑块的性质、位置等情况.比较两组患者颈动脉狭窄的情况.结果：脑梗死组患者检出颈动脉粥样硬化斑块108 例,检出率72.0%,明显高于对照组检出率31.0%（P〈0.05）,其中软斑45 例、混合斑52 例,所占比例（89.8%）远大于硬斑（10.2%）;对照组检出硬斑16 例（76.1%）,远高于软斑及混合斑（23.9%）.两组斑块性质、大小具有显著差异（P〈0.05）.而且,脑梗死部位与斑块位置有较明显的同侧相关性（P〈0.05）. 结论：颈动脉粥样硬化斑块尤其是软斑、混合斑与脑梗死密切相关,高频彩超对颈动脉粥样硬化斑块的检出及分型有重要价值,对临床上脑梗死患者的预防及治疗具有指导意义,值得进一步推广使用.
ObjectiveTo investigate the clinical value of high frequency ultrasound for diagnosis of cerebral infarction in patients with carotid atherosclerosis. Methods：Cerebral Infarction （CI） group were 150 cases from our hospital, control group were randomly selected 150 cases of non-cerebral infarction patients-came to our hospitalcheckup-with corresponding age. Two groups of patients were examined with high-frequency ultrasound carotid, and we observe the nature of their carotid atherosclerotic plaqueand plaque detection rate, location and so on.Then,comparison of the two groups with carotid artery stenosis situation. Results：108 cases in CI group were detected of carotidatherosclerosis plaque,detection rate is 72.0%. The detection rate higher than control group（31.0%） （P 〈0.05）, where the soft spots were 45 cases, mixed plaques 52 cases（89.8%） ismuch larger than hard plaque （10.2%）; hard plaque in control group were 16 cases （76.1%）, higher than the soft spots and mixed plaques （23.9%）.the nature, size of plaques in twogroup had a significant difference （P 〈0.05）.Moreover, parts of the cerebral plaques ipsilateral position has significantly correlation （P 〈0.05）. Conclusion：Carotid atheroscleroticplaque is closely related to the particular soft spot, mixed plaques and cerebral infarction, high-frequency ultrasound carotid has great value in atherosclerotic plaque detection andgenotyping, and has clinical and treatment of guiding significance for the prevention of cerebral infarction patients, worthying of further promoting to use .
出处
《河南中医》
2014年第B11期337-337,共1页
Henan Traditional Chinese Medicine
关键词
脑梗死
颈动脉粥样硬化
高频彩色多普勒超声
诊断
Cerebral Infarction, Carotid Atherosclerosis, High Frequency Color Doppler Ultrasound, Diagnosis
