高频超声对脑梗死患者颈动脉硬化斑块的研究  

High-Frequency Supersonic to Cerebral Infarction Patient Carotid Arteryhardening Mottling Research

作　　者：黄增荣[1] 

机构地区：[1]广东省梅县人民医院新城医院彩超室,广东梅县514011

出　　处：《医疗保健器具》2008年第7期35-36,共2页Medicine Healthcare Apparatus

摘　　要：目的探讨缺血性脑血管病患者颈动脉粥样硬化斑块特点及其与缺血性脑血管病之间的关系,评价颈动脉粥样硬化斑块的影响因素。方法收集58例经CT、MRI确诊的脑梗死患者进行颈动脉高频超声检查并与32例健康者进行对照分析。结果58例脑梗死患者中,50例有不同程度的颈动脉斑块形成,检出率为86.2%。对照组斑块检出率为19.7%(p<0.01)。缺血侧颈动脉斑块发生率(65.49%),其中软斑发生率(32.78%),均高于非缺血侧34.51%(其中软斑19.61%,p<0.05)。结论颈动脉粥样硬化与脑梗死有密切的相关性,且在各型斑块中软斑是脑梗死的主要栓子来源之一。超声检查能早期发现颈动脉硬化斑块并给予及时的治疗,可降低脑梗死的发病率。Objective： Ischemic cerebrovascular disease patients with carotid atherosclerosis and its characteristics with ischemic cerebrovascular disease of the relationship between evaluation of carotid aterosclerotic plaque of the influencing factors. Methods： 58 patients with CT, MRI diagnosis of cerebral infarction in patients with carotid artery for high-frequency color Doppler and 32 healthy controls were analyzed. Results： 58 patients with cerebral infarction, 50 patients with varying degrees of carotid artery plaque formation, with a detection rate of 86.2%. Control group plaque detection rate of 19.7% （P〈0.01） . Ischemic carotid artery plaque incidence rate （65.49%） , soft spot rate （32.78%） , were higher than in non-ischemic 34.51% （19.61% soft spot, P〈0.05） . Conclusion： Carotid aterosclerosis and cerebral infarction are closely related, and the various types of plaques infarction soft spot is the main source of emboll Ultrasonography can be early detection of carotid plaque and give timely treatment, can reduce the incidence of cerebral infarction.

关 键 词：高频超声 脑梗死 颈动脉粥样硬化斑块 

分 类 号：R540.48[医药卫生—心血管疾病]