摘要
目的:讨论彩色超声多普勒对颈动脉粥样硬化斑块与脑梗死相关性的应用价值。方法:对住院治疗的脑梗死患者(观察组)与健康体检者(对照组)的颈部超声多普勒图像进行对比分析,讨论动脉粥样硬化的发生部位,斑块特点与斑块类型。结果:观察组斑块检出率为96.23%,对照组检出率为16%,两组相比差异显著,具有统计学意义(x2=67.673,P<0.05);观察组中49.5%的斑块发生在颈动脉分叉处,对照组中50%发生在颈动脉分叉处,两组相比差异显著,具有统计学意义(x2=6.973,P<0.05);观察组以软斑为主,对照组以硬斑为主,两组相比差异显著,具有统计学意义(x2=10.028,P<0.05)。结论:在脑梗死检测中,超声能准确对斑块进行检测和定位,并对性质判定,可区分易损斑块和稳定斑块,为临床脑梗死患者的治疗提供重要的参考依据。
Objective： To discuss the applied value of color Doppler ultrasound on relationship between atherosclerotic plaques and cerebral infarction occurred. Methods： Comparative analysis was conducted in neck ultrasound Doppler mage of patients with cerebral infarction and healthy patients. Occurrence of atherosclerosis, plaque characteristics and plaque type were discussed. Results： Plaque detection rate was 9@23% in observation group and was 16% in control group. Two groups were different （x2=67.673, P〈0.05）, with a very significant statistically significant; 49.5% plague was found in the carotid bifurcation in observation group, and 50% plague was found in the carotid bifurcation in control group; The observation group was mainly soft spot, the two groups were significantly different （x2=6.975, P〈0.05）, with a statistically significant. Control groups were mainly morphea, two groups were significantly different （x2= 10.028, P 〈0.05）, with a statistically significant. Conclusion： Plaques can be detected, located and judged with ultrasound in cerebral infarction detection, ultrasound can distinguish between vulnerable plaque and stable plague and provide an important reference for the clinical treatment of patients with cerebral infarction.
出处
《中国医学装备》
2013年第10期104-106,共3页
China Medical Equipment
关键词
超声
脑梗死
粥样硬化斑块
Ultrasound
Cerebral infarction
Atherosclerotic plaque
