冠心病患者颈动脉粥样硬化斑块的好发部位及其超声分型  

Localization and Assessment of Echo-type of Carotid Atherosclerosis Plaque in Patients with Coronary Artery Disease

作　　者：黄铮[1] 龚兰生[1] 施仲伟[1] 沈卫峰[1] 于金德[1] 

机构地区：[1]上海第二医科大学附属瑞金医院,广州南方医院心内科

出　　处：《中国超声医学杂志》1996年第5期34-37,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：对１０３例经选择性冠状动脉造影的患者作双侧颈动脉超声检查，探讨了须动脉超声检查的方法学以及颈动脉粥样硬化（ＣＡＳ）斑块的好发部位和超声分型，发现ＣＡＳ斑块好发于颈动脉分叉处，以左侧多见，且多为扁平斑；ＣＡＳ与冠状动脉粥样硬化之间有着密切的相关关系，冠脉病变支数越多，其ＣＡＳ斑块积分也越高，不同冠脉病变组之间有非常显著的差异（Ｐ＜０．００１）。The carotid arteries of 103 subjects, conxecutively examined by coronary angiography. Were Subsequently evaluated by duplex scanning. The location and echo-type of carotid atherosclerosis plaque were analysed.Carotid atherosclerosis plaque, were more common in the bifurcation especially in the left side. There was significant positive Linear correlation between carotid atherosclerosis and coronary atherosclerosis. As coro nary atherosclerosis progressed, the extent of cnrotid atherossclerosis also became more severe. Significant differ ences of carotid plaque score were found among different coronary artery disease groups( p<0. 001).

关 键 词：冠心病 颈动脉 动脉粥样硬化 超声波诊断 

分 类 号：R541.404[医药卫生—心血管疾病] R543.404[医药卫生—内科学]