联合颈部血管彩超及DSA评估动脉粥样斑块与脑梗死关联性的意义  

Remark on correlation of atherosclerosis and cerebral infarction by combining double carotid chromatic ultrasonic (DCCU) with DSA

作　　者：方波[1] 

机构地区：[1]六安市人民医院神经内科,237005

出　　处：《中国实用医药》2014年第9期4-6,共3页China Practical Medicine

摘　　要：目的探讨颈部血管彩超及DSA在动脉粥样硬化性脑梗死中的临床应用价值。方法以120例动脉粥样硬化性脑梗死患者为患者组,75例未发生脑梗死患者为对照组,经颈部血管彩超及DSA检查。结果二者颈动脉粥样斑块发生率差异有统计学意义,120例脑梗死患者中,颈动脉及椎动脉粥样斑块发生率为81%,对照组仅有13%。颈动脉斑块最常见颈总动脉分叉处,其次为颈动脉颅内段,椎动脉以起始段多见,其次为基底动脉分布,多以病灶同侧多见,易形成血管狭窄及血流动力学改变。结论颈动脉粥样硬化与脑梗死的发病存在关联性:联合颈部血管彩超与DSA能早期准确发现颈动脉粥样硬化斑块及了解斑块的狭窄率,对预防或治疗脑梗死的发生有重要意义。Objective To assess the clinical value of DCCU and DSA in atherosclerotic cerebral infarction. Methods A study was conducted involving 120 patients with atherosclerotic cerebral infarction as patient groups and 75 patients without cerebral infarction as control groups undergoing DCCU and DSA. Results There are distinct differences in rates of carotid atherosclerosis plaque. The occurrence rates of carotid and vertebral artery atherosclerotic plaques in patient groups and control group were respectively 81%and 13%. Carotid atherosclerotic plaques were mostly located at the bifurcation of the carotid artery, and occurred at the same side of stroke focus, which often led to vascular stenosis and hemodynamic change. Conclusion There exists the correlation between carotid atherosclerosis and cerebral infarction：it is of vital importance to combine DCCU with DSA to find carotid atherosclerosis at an early stage and understand vascular stenosis rate to prevent or treat the occurrence of cerebral infarction.

关 键 词：颈部血管彩超 动脉粥样硬化性脑梗死 颈动脉狭窄 Double CAROTID CHROMATIC ultrasonic(DCCU) 

分 类 号：R743.3[医药卫生—神经病学与精神病学]