颈动脉彩超与肱踝脉搏波速度诊断动脉血管病变的相关性  

Correlation of Carotid Color Ultrasonography and Brachial-ankle Pulse Wave Velocity in Diagnosis of Arteriopathy

作　　者：常广[1] 刘艳茹[1] 田京利[1] 张婧环[1] 刘晓明[1] 胡荣[1] 

机构地区：[1]解放军白求恩国际和平医院健康管理中心,石家庄050082

出　　处：《临床误诊误治》2011年第9期68-69,共2页Clinical Misdiagnosis & Mistherapy

摘　　要：目的观察颈动脉彩超与肱踝脉搏波速度(BaPWV)诊断动脉血管病变的相关性。方法对2248例体检人员进行双侧颈动脉彩超检查及BaPWV测定,并对两项结果进行相关分析。结果 BaPWV在1000～1300 cm/s的784例中,超声诊断为颈动脉粥样硬化47例,占5.99%;BaPWV在1300～1400 cm/s的476例中,超声诊断为颈动脉粥样硬化138例,占28.99%;BaPWV在1400～1600 cm/s的637例中,超声诊断为颈动脉粥样硬化385例,占60.44%;BaPWV在1600～1800 cm/s的229例中,超声诊断为颈动脉粥样硬化191例,占83.41%;BaPWV>1800 cm/s的112例中,超声诊断为颈动脉粥样硬化94例,占77.05%。BaPWV与颈动脉粥样硬化呈正相关(χ2=727.56,P=0.0001)。结论 BaPWV与颈动脉粥样硬化有明显的相关性,可作为临床判断血管病变的早期检测手段。Objective To investigate the relationship between carotid color ultrasonography and brachial-ankle pulse wave velocity（BaPWV） in diagnosis of arteriopathy.Methods Carotid ultrasonography and BaPWV were conducted in 2248 physical check-ups and the results were compared.Results BaPWV was in a range of 1000-1300 cm/s in 784 patients,among whom,47（5.99%） were diagnosed as having carotid artherosclerosis by ultrasonography;BaPWV was in the range of 1300-1400 cm/s in 476 patients,among whom,138（28.99%） were diagnosed as having carotid artherosclerosis by ultrasonography;BaPWV was in the range of 1400-1600 cm/s in 637 patients,among whom,385（60.44%） were diagnosed as having carotid artherosclerosis by ultrasonography;BaPWV was in the range of 1600-1800 cm/s in 229 patients,among whom,191（83.41%） were diagnosed as having carotid artherosclerosis by ultrasonography;BaPWV was above 1800 cm/s in 112 patients,among whom,94（77.05%） were diagnosed as having carotid artherosclerosis by ultrasonography.BaPWV was positively related to carotid artherosclerosis（χ2=727.56,P=0.0001）.Conclusion BaPWV is related to carotid artherosclerosis,and can be used in diagnosis of early arteriopathy.

关 键 词：颈动脉疾病 超声检查 多普勒 肱踝脉搏波速度 

分 类 号：R445.1[医药卫生—影像医学与核医学]