摘要
目的探讨双侧颈动脉粥样硬化斑块(以下简称颈动脉斑块)的分布与同侧脑梗死发病之间的关系。方法采用彩色多普勒超声检测134例颈动脉系疾病导致脑梗死的患者左、右侧颈动脉斑块数量、大小、位置及性质,并比较斑块检出率、双侧颈动脉斑块致同侧大脑半球脑梗死的发生率。结果左侧颈动脉斑块检出率(55.97%)显著高于右侧颈动脉斑块检出率(40.30%),差异有统计学意义(P=0.048);左侧颈动脉斑块较右侧更大(t=2.267,P=0.025);位于颈动脉干左侧的斑块(35/84)较右侧多(18/69),差异有统计学意义(χ~2=4.061,P=0.032)。左侧颈动脉斑块致同侧大脑半球脑梗死发生率(61.11%)较右侧(48.15%)高,差异有统计学意义(P=0.016)。结论颈动脉斑块易发于左侧,左侧颈动脉斑块致更多同侧脑梗死发生。
Objective To investigate the relationship between the carotid atherosclerotic distribution and ipsilateral cerebral infarction onset.Methods The number,size,location and character in the left and right plaques in the patients with cerebral infarction caused by carotid arterial disease were detected by adopting the color Doppler ultrasound.Moreover the plaque detection rates and occurrence rates of ipsilateral hemicerebral infarction caused by bilateral carotid plaque were compared.Results The left carotid arterial plaque detection rate was significantly higher than the right carotid arterial plaque detection rate,the difference was statistically significant(55.97%vs.40.30%,P=0.048);the left carotid arterial plaque was significantly bigger than the right carotid arterial plaque(t=2.267,P=0.025);the left carotid arterial plaques were more than the right carotid arterial plaques,the difference was statistically significant(35/84 vs.18/69,P=0.032).The occurrence rate of ipsilateral hemicerebral infarction caused by left carotid arterial plaque was higher than that caused by right carotid arterial plaque,the difference was statistically significant(61.11%vs.48.15%,P=0.016).Conclusion The carotid arterial plaque easily occurs in the left side,moreover the left carotid arterial plaque easily causes ipasilateral cerebral infarction.
作者
姜帆
卢柳西
姜中碧
田梦婕
金戈
李兴贵
展群岭
JIANG Fan;LU Liuxi;JIANG Zhongbi;TIAN Mengjie;JIN Ge;LI Xinggui;ZHAN Qunling
出处
《检验医学与临床》
CAS
2018年第6期747-749,共3页
Laboratory Medicine and Clinic
基金
重庆市卫生和计划生育委员会医学科研计划项目(2015MSXM113)
重庆市南岸区科技攻关计划项目(2016-2018)
关键词
颈动脉粥样硬化
斑块
脑梗死
carotid arterial plaque
plaque
cerebral infarction
