颈动脉狭窄与脑梗死的关系探讨  

The relationship between carotid arteriostenosis and cerebral infarction

作　　者：阎平建[1] 刘建祥[1] 牛凌川[1] 雷靖安[1] 韩琦[1] 

机构地区：[1]湖北十堰市郧阳医学院附属东风总医院神经内科,442008

出　　处：《卒中与神经疾病》2006年第1期23-24,18,共3页Stroke and Nervous Diseases

摘　　要：目的探讨颈动脉狭窄与脑梗死的关系。方法采用多普勒超声对72例脑梗死患者和70例无脑卒中病史的对照组患者的颈动脉进行检测,比较脑梗死组与对照组颈动脉形态的差异。结果72例脑梗死患者中有65例患者检出动脉硬化斑块96个,颈动脉狭窄程度轻度11例,中度35例,重度19例;70例对照组有12例患者检出动脉硬化斑块17个,颈动脉狭窄程度轻度8例,中度3例,重度1例。结论颈动脉B超能显示颈动脉粥样斑块和狭窄程度,对早期干预和脑梗死的预防有重要意义。Objective To investigate the relationship between carotid arteriostenosis and cerebral infarction. Methods Carotid arteriostenosis was assessed using Doppler ultrasongraphy in 72 patients with cerebral infarction and in 70 patients without cerebral infarction, and the characteristics of carotid aeteriostenosis were compared to patients with or without cerebral infarction. Results Of 72 patients with cerebral infarction, 65 patients had atheromatous plaques, the number of patients with mild, moderate and severe carotid arteriostenosis were 11, 35 and 19, respectively. Of 70 patients without cerebral infarction, only 12 patients had atheromatous plaques, the number or patients with mild, moderate and severe carotid arteriostenosis were 8, 3 and 1, respectively. Conelusions Using Doppler ultrasongraphy we can show lesions of carotid aeteriostenosis which is very important in preventing cerebral infarction.

关 键 词：颈动脉狭窄 多普勒超声 动脉粥样斑块 脑梗死 

分 类 号：R743[医药卫生—神经病学与精神病学]