摘要
目的探讨超声诊断脑梗死患者颈动脉粥样硬化的临床价值。方法回顾性分析48例脑梗死患者(观察组)的颈动脉超声检查情况,并与同年龄段48例健康体检者(对照组)的超声检测结果进行比较。重点观察内-中膜厚度、有无动脉粥样斑块形成、斑块位置、回声类型及狭窄程度,进行评估和分析。结果 1观察组CCA-IMT平均厚度(1.17±0.10)mm,BIF-IMT平均厚度(1.42±0.11)mm,对照组CCA-IMT平均厚度(0.73±0.11)mm,BIF-IMT平均厚度(0.97±0.10)mm,观察组CCA-IMT、BIF-IMT明显高于对照组,两组IMT比较差异有统计学意义(P<0.05);2两组颈动脉粥样斑块检出率及回声类型比较,观察组斑块检出率明显高于对照组(89.6%vs 22.9%,P<0.05),差异有统计学意义;观察组回声类型以软斑为主(占86.1%,37/43),对照组以硬斑为主(占54.5%,6/11),两组差异有显著性;3两组颈动脉粥样硬化斑块分布部位均以颈动脉分叉处为主,两组差异无统计学意义(60.5%vs63.6%,P>0.05);4两组颈动脉狭窄程度比较,观察组以中重度狭窄为主(占77.1%,37/48),对照组以轻度狭窄为主(占81.3%,39/48),组间差异有统计学意义(P<0.05)。结论超声能准确地反映颈动脉粥样硬化和血管狭窄程度,及时行超声检查能早期发现颈动脉粥样硬化,为临床有效预防和治疗脑梗死的发生发展提供可靠依据,值得临床推广应用。
Objective To investigate the clinical value of ultrasonography in the diagnosis of carotid atherosclerosis in the patients with cerebral infarction. Methods Results of carotid uhrasonography in the 48 patients with cerebral infarction （observation group） were retrospectively analyzed, and the results of uhrasonography in 48 healthy subjects with the same age groups（control group） were compared. The thickness of intima-media membrane, the presence of atherosclerotic plaques, plaque location, echo type and stenosis were mainly observed, and then were evaluated and analyzed. Results （~）The average thickness of IMT and CCA-IMT was（i.17＋0.10） mm in the observation group, and the average thickness of BIF-IMT was（1.42_＋0.11） mm. The average thickness of CCA-IMT in the control group was（0.73_＋ 0.11） ram, and the average thickness of BIF-IMT was （0.97±0.10） mm. The CCA-IMT and BiF-IMT in the observation group were significantly higher than those in the control group, and the differences in IMT between the ,two groups were statistically significant（P〈0.05）; ② The detection rate of carotid artery atherosclerotic plaques and echo type were compared between the two groups,The detection rate of plaques was significantly higher in the observation group than that in the control group（89.6% vs 22.9%, P〈0.05）. The differences were statistically significant. The echo types in observation group was mainly seen as soft spots （accounting for 86.1%, 37/43）, and the control group was mainly seen as hard spots（accounting for 54.5%, 6/11）. The difference between the two groups was significant; ③The carotid artery bifurcation was the most common in carotid atherosclerotic plaques in the two groups, and no significant difference was found between the two groups（60.5% vs 63,6%,/：90.05）; ④he degree of stenosis of carotid artery was compared between the two groups, medium to severe stenosis was the most common in the observation group（accounting for 77.1%, 37/48）. The mild stenosis was the most common in the control group（accounting for 81.3% ,39/48）. The difference was statistically significant（P〈0.05）. Conclusion Ultrasonography can accurately reflect the degree of carotid artery atherosclerosis and stenosis, and timely ultrasound examination can detect carotid atherosclerosis in an early stage, which provides a reliable basis for the clinical prevention and treatment of cerebral infarction, and is worthy of clinical promotion and application.
出处
《中国现代医生》
2016年第30期103-106,F0003,共5页
China Modern Doctor
关键词
脑梗死
颈动脉粥样硬化
超声评估
临床价值
Cerebral infarction
Carotid atherosclerosis
Uhrasonography evaluation
Clinical valUe
