颈动脉粥样硬化斑块超声对脑梗死危险预测的价值  

Carotid atherosclerosis plaque ultrasonography for predicting the risks of cerebral infarction

作　　者：陈晋文[1] 邵波[2] 李忠东[3] 丁卫星[4] 

机构地区：[1]解放军空军总医院老年病科,北京市100036 [2]解放军空军总医院超声诊断科,北京市100036 [3]解放军空军总医院临床药理科,北京市100036 [4]解放军空军总医院理疗科,北京市100036

出　　处：《中国临床康复》2005年第9期104-105,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:探讨颈动脉粥样硬化斑块与脑梗死的关系,了解颈动脉多普勒超声在脑梗死危险预测中的作用。方法:对64例2001-01/2003-12解放军空军总医院收治的脑梗死患者和30例对照组进行颈动脉彩色多普勒超声检查。结果:病例组64例有51例检出颈动脉硬化斑块,斑块检出率79.7%,显著高于对照组斑块检出率16.7%(χ2=33.68,P<0.001)。颈动脉分叉处硬化斑块检出率约为55%,显著高于颈总动脉和颈内动脉斑块检出率(χ2=11.65,P<0.001,χ2=15.45,P<0.001)。病例组中、重型患者软斑块检出率显著高于轻型患者(χ2=14.03,P<0.001)。结论:脑梗死发病与颈动脉粥样硬化斑块相关。脑梗死病情的轻重在一定程度上与硬化斑块的性质有关。颈动脉彩色多普勒超声检查对脑梗死危险预测有重要临床意义。AIM:To investigate the relationship between carotid atherosclerosis plaque and cerebral infarction and study the effect of carotid Doppler ultrasonography on risk assessment of cerebral infarction.METHODS:The carotid arteries of 64 patients with cerebral infarctions,who were selected from Air- force General Hospital of Chinese PLA from January 2001 to December 2003,were examined by color Doppler ultrasonography, and the results were compared with those of 30 controls.RESULTS:Carotid plaques were found in 51 of 64 cases and the prevalence was 79.7% ,which was significantly higher than that of control group(16.7% ,χ 2=33.68,P< 0.001).The plaque prevalence in bifurcation was about 55% significantly higher than that in common carotid artery and internal carotid artery( χ 2=11.65, P< 0.001;χ 2=15.45, P< 0.001) . The soft plaques prevalence in moderate and severe cases was significantly higher than that in mild cases( χ 2=14.03, P< 0.001) . CONCLUSION:There is correlation between carotid atherosclerosis plaque and the onset of cerebral infarction.The severity of cerebral infarction partly relates to the character of plaque.Doppler ultrasonic examination has important clinical significance in the risk assessment of cerebral infarction.

关 键 词：脑梗塞 超声检查 多普勒 彩色 颈动脉/超声检查 

分 类 号：R743[医药卫生—神经病学与精神病学]