冠心病患者的颈动脉超声检测  

Detection of Carotid by Ultraound in Coronary Atherosclerosis Disease Patients

作　　者：姚依群[1] 徐少平[1] 简文豪[1] 黄小琴[1] 徐幼月[1] 张凌辉 黄平 朱洁[1] 

机构地区：[1]北京军区总医院

出　　处：《中华超声影像学杂志》1998年第1期32-34,共3页Chinese Journal of Ultrasonography

摘　　要：为评价颈动脉与冠状动脉粥样硬化的关系，将７０例患者分成对照组、心绞痛组和心肌梗塞组。应用冠脉造影和颈动脉超声进行检测。结果对照组冠脉造影未发现血管狭窄，颈动脉未见钙化斑，颈动脉内膜厚度／腔内径＜０．１。心绞痛或心肌梗塞病组３７例经冠脉造影证实存在冠脉狭窄，１例颈动脉存在＞５０％狭窄，８７％发现颈动脉钙化斑，Ｐ值＜０．０５。钙化斑面积＞３．０ｍｍ×３．０ｍｍ者，其冠脉狭窄≥２支，动脉内膜厚／腔内径＞０．１，Ｐ值＜０．０５。Ｄｏｐｐｌｅｒ检测ＩＣ／ＣＣ＞０．８，Ｐ值＜０．０５。颈动脉粥样硬化与冠脉粥样硬化之间有较密切的关系。For the purpose of the assessment the relationship between carotid and coronary atherosclerosis. 70 cases were divided into control, angina pectoral and myocardial infarction group. Whom were detected by coronary angiography and carotid ultrasound. There were only 1 case had>50% stenosis in carotid. Carotid atherosclerotic calcific speck were in 87% cases, P<0.05. If the speck area were>3.0 mm×3.0 mm, the number of with coronay stenosis were≥2 branches. The thickness of internal membrane of carotid/vessel cavity distance>0.1, P<0.05. The index of IC/CC>0.8 in Doppler assessted, P<0.05. There were close relationship between carotid and coronary atherosclerosis. Caratid ultrasound could help to predict the presence of coronary stenosis. 

关 键 词：冠心病 冠状动脉造影 超声描记术 

分 类 号：R541.404[医药卫生—心血管疾病]