摘要
目的探究颈动脉粥样硬化程度与脑梗死病灶最大面积的相关性,探讨颈动脉彩色多普勒超声检查在脑梗死预防及治疗中应用价值。方法选取150例脑梗死患者为观察对象,按照梗死灶最大层面分为大面积脑梗死组(n=21),中小面积脑梗死组(n=40),腔隙性脑梗死组(n=89),回顾性对比分析三组患者颈动脉彩色多普勒超声检查结果,包括缺血侧颈动脉内中膜厚度、斑块数量、管腔狭窄程度。结果大面积脑梗死组颈动脉狭窄程度显著高于中小面积脑梗死组及腔隙性脑梗死组,差异具有统计学意义(P<0.05);三组患者斑块的数目检出率差异无统计学意义(P>0.05);大面积脑梗死组患者颈动脉内中膜厚度明显高于中小面积脑梗死组及腔隙性脑梗死组,差异具有统计学意义(P<0.05)。结论颈动脉内中膜厚度及颈动脉狭窄程度与脑梗死面积具有明确相关性,彩色多普勒超声在检查分析患者颈动脉斑块及颈动脉狭窄方面具有重要的临床价值。
Objective To investigat the correlation between the size of cerebral infarction and carotid atherosclerosis,and to explore the value of color doppler ultrasound in the prevention and treatment of cerebral infarction.Methods A totle of 150 subjects,who were admitted to Department of Neurology,Suqian People's Hospital of Nanjing Gulou Hospital from December 2018 to December 2019,were selected as the research objects.According to the infarction size,those were divided into large area cerebral infarction group(n=21),medium and small size cerebral infarction group(n=40),lacunar cerebral infarction group(n=89).We retrospectively analyed three groups of patients with carotid artery color doppler ultrasound examination results,including ischemia side carotid intima-media thickness,plaque quantity,nature,the degree of luminal stenosis.Results The degree of carotid stenosis in the large-area cerebral infarction group was significantly higher than that in the small-area cerebral infarction group and the lacunar cerebral infarction group,and the difference was statistically significant(P<0.05).There was no significant difference in the number of plaques among the three groups(P>0.05).Carotid intima thickness in the large-area cerebral infarction group was significantly higher than that in the small-area cerebral infarction group and the lacunar cerebral infarction group(P<0.05).Conclusion There is a clear correlation between carotid intima-media thickness and carotid stenosis degree and cerebral infarction area.Color doppler ultrasound has important clinical value in the examination and analysis of carotid plaque and carotid stenosis in those patients.
作者
蒋瑶瑶
胡春峰
蔡培
JIANG Yaoyao;HU Chunfeng;CAI Pei(Department of Radiology, Xuzhou Medical University Affiliated Hospital, Xuzhou 221004, P.R.China;Department of Ultrasonography, Suqian People's Hospital of Nanjing Drum-Tower Hospital Group, Suqian 223800, P.R.China;Department of Radiology, Suqian People's Hospital of Nanjing Drum-Tower Hospital Group, Suqian 223800,P.R.China)
出处
《医学影像学杂志》
2020年第7期1153-1156,共4页
Journal of Medical Imaging
基金
江苏省宿迁市科技创新专项(编号:K201904)。
关键词
脑梗死
颈动脉粥样硬化
彩色多普勒超声
Cerebral infarction
Carotid atherosclerosis
Color doppler ultrasound
