高频超声对脑梗塞患者颈动脉粥样硬化斑块的观察  

Ultrasonic detection to Atheroma of carotid in patients with cerebral Infarction

作　　者：杨建勤[1] 李圆[1] 王文[1] 叶秀芳[1] 纳丽莎[1] 

机构地区：[1]宁夏医学院附属医院,宁夏银川750004

出　　处：《宁夏医学杂志》2006年第6期420-421,共2页Ningxia Medical Journal

摘　　要：目的应用高频超声观察脑梗塞患者颈动脉粥样硬化斑块。方法应用高频探头检查颈动脉,详细观察内-中膜厚度及有无斑块形成,斑块大小、性质、形态、回声强度、管腔狭窄程度等。结果100例脑梗塞患者中,颈动脉内膜均粗糙不光滑,内-中膜厚度>1.0mm;斑块好发于颈总动脉膨大处及颈内、外动脉分叉处;斑块的形成有多发或单发,双侧或单侧,软斑、硬斑、混合斑;斑块好发于脑梗塞病灶的同侧,少数发生在对侧。结论超声诊断技术对于脑梗塞患者颈动脉粥样硬化斑块的检出有重要意义。Objective To dectect atharoma of carotid in patients with cerebral infarotion using high- resolution uhrasonngraphy. Methods We detected and measured intima - media thickness and the atheroma of carotid including the size, morphology, contrast of echo of atheroma and the extent of the luminal stenosis. Results Among 100 patients with cerebral infarction, the intirna of carotid was not smooth, intima-media thickness was more than lrrrn.The most likely happened Position of atherctna was at expansion of common carotid artery, and the branches of external carotid artery and internal carotid artery. The forming of atheraua was single and multiple. They were situated at one side and two sides of carotid Most of atheromas were situated on the same side of focus of cerebral infarction, but a few were on the opposite.They were soft hard and blended atheroma. Conclusion It is of significant Value in detection to atheroma of carotid in patients with cerebral infarction using high high - resolution uhrasonngraphy.

关 键 词：颈动脉 粥样硬化 脑梗塞 超声显像 

分 类 号：R743.33[医药卫生—神经病学与精神病学]