彩超检测分析颈动脉粥样硬化与急性前循环脑梗死的关系  

Color ultrasonic research into the correlation between carotid atherosclerosis and acute cerebral infarction of anterior circulation

作　　者：瞿国萍[1] 郑利群[2] 罗伟权[1] 曾福祥[1] 邵菲[1] 吴浩堂[1] 

机构地区：[1]广州中医药大学中山附属医院超声科,广东中山528400 [2]广州中医药大学中山附属医院神经内科,广东中山528400

出　　处：《实用医学影像杂志》2010年第1期52-54,共3页Journal of Practical Medical Imaging

摘　　要：目的探讨颈动脉粥样硬化与急性前循环脑梗死的关系。方法回顾性分析具有典型前循环脑梗死临床表现并经CT或MRI证实为脑梗死的患者136例颈动脉的彩色多普勒超声检查结果,与对照组50例同年龄组非脑梗死患者相比较。结果136例急性前循环脑梗死患者中107例(78.7%)检出颈动脉硬化斑块,而对照组检出颈动脉硬化斑块者仅12例(24%)。结论颈动脉粥样硬化斑块与前循环脑梗死密切相关,超声能够早期发现颈动脉粥样硬化,对预防前循环脑梗死的发生有重要意义。Objective To analyze and discuss the correlation between carotid atherosclerosis and acute cerebral infarction of anterior circulation. Methods A hundred and thirty-six patients with CT or MRI proved acute cerebral infarction of anterior circulation underwent color Doppler ultrasonography examinations. The ultrasonic findings of all the patients were retrospectively analyzed and compared with those of 50 inpatients with age-matched but without cerebral infarction as the control group. Results The study demonstrated that, 107 of 136 patients with cerebral infarction had carotid atherosclerosis and the incidence was 78.7%, while in 50 inpatients without cerebral infarction, the carotid plaques were found only in 12 cases with incidence of 24%. Conclusion The result suggested that acute cerebral infarction of anterior circulation and carotid atherosclerosis were closely related. Carotid atherosclerosis can be found earlier on uhrasonography so that uhrasonography should be performed as early as possible in order to prevent the cerebral infarction of anterior circulation.

关 键 词：颈动脉粥样硬化 前循环 脑梗死 彩色多普勒超声 

分 类 号：R445.1[医药卫生—影像医学与核医学] R543.5[医药卫生—诊断学]