摘要
目的：探讨彩色多普勒超声对颈动脉粥样斑块与脑梗死的诊断价值。方法选择2011年10月～2013年10月长沙市第一医院收治的70例脑梗死患者和70例健康体检者，分别作为观察组和对照组。应用彩色多普勒超声仪对2组颈动脉内中膜厚度（IMT）、斑块类型、斑块形态，进行检测和比较。结果与对照组相比，观察组颈动脉粥样硬化斑块形成率显著升高（77.1% vs 24.3%），并且斑块类型多为不稳定的软斑；与对照组相比，观察组颈动脉IMT明显增大（1.3±0.3） vs （0.7±0.2），差异有统计学意义（P＜0.05）。结论颈动脉粥样斑块与脑梗死密切相关，颈动脉彩色多普勒超声检查能够明确脑梗死患者颈动脉粥样硬化斑块特征，具有较高的临床诊断价值。
Objective To explore the clinical value of Color Doppler ultrasound in detecting atherosclerotic plaque of caroidartery in cerebral infarction.Methods From October 2011 to October 2013, 70 patients with cerebral infarction and 70 cases with health examination were selected as the observation group and the control group. Color Doppler ultrasound was used to detect carotid artery intima-medium thickness（IMT）, type and morphology of atherosclerotic plaque in thetwo groups.Results Compared with the control group, the observation group carotid atherosclerotic plaque formation rate was significantly higher （77.1% vs 24.3%）, and most of them are soft spot types;Compared with the control group, the observation group carotid IMT was significantly increased （1.3 ± 0.3） vs （0.7 ± 0.2）, （P〈0.05）.Conclusion Carotid arteryplaque is related with cerebral infarction. Color Doppler ultrasound can clearly cerebral atherosclerosis in patients with carotid plaque characteristics, which has important clinicalvalue of cerebral infarction.
出处
《当代医学》
2014年第26期143-144,共2页
Contemporary Medicine
关键词
彩超
颈动脉
粥样斑块
脑梗死
Color Doppler ultrasound
Carotid ultrasonography
Atherosclerotic plaque
Cerebral infarction
