摘要
目的探讨颈动脉粥样硬化斑块的高频彩超检查在脑梗死患者的诊断及治疗中的临床价值。方法收集78例经CT、MRI证实的脑梗死患者。行双功能超声检查颈动脉管腔及内壁情况,观察内中膜厚度及有无斑块形成,斑块的大小、性质、形态、回声强度、管腔狭窄程度等。结果78例脑梗死患者中,60例患者颈动脉出现不同程度的内中膜增厚(厚度≥1.0mm),66例出现斑块,斑块的形成有单侧或双侧,单发或多发,性质有软斑、硬斑或复合斑块,斑块多发生于脑梗死病灶的同侧,少数发生在对侧。结论颈动脉粥样硬化与脑梗死有密切地相关性,高频彩超对颈动脉硬化斑块性质及位置的确定,为脑梗死的临床诊断及临床颈内动脉注射治疗脑梗死提供可靠的资料,其方法灵活简便、无损害,具有重要的临床意义。
Objective To explore the clinical value of high frequency color doppler ultrasonography in examining atheromatous sclerosis playues. Methods 78 cases of cerebral infarction confirmed by CT and MRI underwent high frequency doppler uhrasonography to examine the thickness of media, the existence of plagues and their size, shape, nature, echo intensity and luminal narrowness. Results Of the 78 cases, 60 cases showed different thicknes.ses of interma media （over 1.0mm）,66 cases had plagues where were unilateral or bilateral, single or multiple. The playues were soft, hard ,or compund, most occurring on the .same side of loci and others on the opposite side. Conclusion Carotiol atheromatous playues were closely related to cerebral infarction, and high frequency color doppler uhrasonography can help diagnoses and treatment of cerebral nfarctions.
出处
《山东医学高等专科学校学报》
2008年第3期201-203,共3页
Journal of Shandong Medical College
关键词
脑梗死
颈动脉
高频彩超
Cerebral infarction
Carotid
High frequency color doppler u ltrasonography
