摘要
目的：探讨颈动脉粥样硬化（CAS）斑块超声检测与缺血性脑卒中的相关性。方法：选取2015年4月~2016年4月本院住院的120例缺血性脑卒中患者为观察组,另选取有CAS斑块但无脑卒中者120例作为对照组,采用彩色多普勒超声诊断仪进行检查颈总动脉（CCA）、颈内动脉（ICA）、椎动脉（VA）管壁狭窄度及血流量,二维超声测量颈动脉内膜-中层厚度（IMT）及斑块积分。结果：观察组颈动脉斑块的不稳定斑块的比率明显高于对照组;观察组IMT、斑块面积均大于对照组（P〈0.05）;观察组CCA、ICA、VA狭窄度明显高于对照组,差异有统计学意义（P〈0.05）;观察组CCA、ICA、VA、脑血流量明显少于对照组,差异有统计学意义（P〈0.05）。结论：CAS斑块与缺血性脑卒中密切相关,颈动脉彩色多普勒超声可对血管内斑块及狭窄程度进行评价,指导临床进行相应治疗,对判定CAS发生缺血性脑卒中具有较高的临床价值。
Objective：To explore the correlation of ultrasound detection of carotid atherosclerosis （CAS）plaque with is-chemic cerebral stroke.Methods：A total of 120 patients with ischemic cerebral stroke who were admitted in our hospital from April,201 5 to April,201 6 were served as the observation group,while 120 patients with CAS plaque but no cerebral stroke were served as the control group.The color Doppler ultrasonic diagnosis apparatus was used to detect the stenosis degree and blood flow volume of CCA,ICA,and VA.The two-dimensional ultrasound was used to measure IMT and plaque score.Re-sults：The ratio of unstable plaques in the observation group was significantly higher than that in the control group （P 〈0.05）. IMT and plaque area in the observation group were significantly greater than those in the control group （P 〈0.05）.The steno-sis degree of CCA,ICA,and VA in the observation group was significantly higher than that in the control group （P 〈0.05）. The blood flow volume of CCA,ICA,and VA in the observation group was significantly less than that in the control group （P〈0.05）.Conclusions：CAS plaque is closely associated with ischemic cerebral stroke.The carotid artery color Doppler ultra-sound can evaluate the intravascular plaque and stenosis degree,which can guide the corresponding treatment,and is of great significance in estimating the ischemic cerebral stroke in patients with CAS.
出处
《海南医学院学报》
CAS
2016年第15期1755-1757,共3页
Journal of Hainan Medical University
基金
2016年度河北省医学科学研究重点课题(20160034)~~
关键词
颈动脉粥样硬化
缺血性脑卒中
硬化斑块
斑块面积
彩色多普勒超声
Carotid atherosclerosis
Atherosclerotic plaque
Plaque area
Color Doppler ultrasound
Ischemic cerebral stroke
