颈动脉超声评分在冠心病危险评估中的应用价值  

Value of Ultrasonography Scores for the Evaluation of the Risk of Coronary Heart Disease

作　　者：韩晓玲[1] 谢永高[1] 熊威[1] 

机构地区：[1]湖北省新华医院超声科,武汉430015

出　　处：《放射学实践》2009年第9期1047-1049,共3页Radiologic Practice

摘　　要：目的:评价颈动脉超声评分在冠心病危险评估中的应用价值。方法:通过对178例因不同病因在我院心内科住院行冠状动脉造影检查的患者,于造影前后1周内对上述患者行颈动脉血管彩色多普勒超声检查,根据造影结果分为冠心病单支病变组、多支病变组和正常组(对照组),比较各组间所测得的颈动脉血管后壁内中膜厚度(IMT)及斑块发生率。结果:与正常组相比,冠心病单支病变组及多支病变组IMT值及斑块发生率均明显增高,差异有统计学意义(P<0.05),单支病组与多支病组间差异亦有统计学意义(P<0.05)。结论:颈动脉粥样硬化与冠心病之间关系密切,较早行颈动脉超声的检查可以早期估计冠状动脉病变的危险程度。Objective：To study the value of carotid artery ultrasonography scores for the evaluation of the risk of coronary heart disease.Methoes：A total of 178 in-patients of internal medicine department with different causes of heart disease underwent coronary arteriography（CAG） were enrolled in the study.All of these patients undertook carotid artery color Doppler ultrasonography within one week before and after CAG.According to the results of CAG,these patients were divided into three groups：single-branch,multi-branches of coronary artery disease and normal coronary artery（control group）.The results of measured carotid artery intimal medial thickness（IMT） and the incidence of carotid artery atherosclerosis plaques（ASP） in all three groups were obtained and compared.Results：Compared with the normal group,the IMT value and incidence of ASP of carotid artery detected by ultrasonography in patients with coronary disease were markedly increased with significant statistic difference（P〈0.05）,also statistical difference was existed between patients with single branch and multi-branches coronary artery disease（P〈0.05）.Conclusion：Close correlation is existed between carotid atherosclerosis and coronary heart disease undergoing carotid artery ultrasonography earlier is helpful for the early evaluation of the risks of coronary artery disease.

关 键 词：颈动脉 超声检查 多普勒 彩色 内膜-中膜厚度 血管内膜 冠状动脉疾病 

分 类 号：R541.4[医药卫生—心血管疾病] R445.1[医药卫生—内科学]