外周动脉粥样硬化的超声评价及其与危险因素相关性研究  

The Ultrasonic Evaluation of Extracoronary Atherosclerosis and Its Relation to Risk Factors

作　　者：耿斌[1] 曹铁生[1] 段云友[1] 

机构地区：[1]第四军医大学附属唐都医院超声诊断科,陕西西安710038

出　　处：《中国医学影像技术》2001年第5期460-462,共3页Chinese Journal of Medical Imaging Technology

摘　　要：目的　探讨外周动脉粥样硬化 (EcAS)发生、分布规律及其与心血管危险因素的关系。方法　对动脉粥样硬化 (AS)高发人群进行外周动脉超声检查并与心血管危险因素进行单因素检验及多因素的多元回归分析。结果　颈动脉(CA)、锁骨下动脉 (SA)、腹主动脉 (AbAO)、股动脉 (FA)和髂总动脉 (CIA)粥样硬化的发生率分别为 73%、6 3%、5 6 %、5 4%和 5 1%。AS斑块以单纯性斑块最常见 ,冠心病组FA、CIA和AbAO粥样硬化发生率及IMT显著高于其它组 (P <0 .0 1) ,而脑梗塞组CA粥样硬化发生率及IMT显著高于其它组 (P <0 .0 5和P <0 .0 1)。结论　EcAS发生率由高到低依次为CA、SA、AbAO、FA和CIA ;FA、CIA和AbAO粥样硬化与冠心病显著正相关 ,而CA粥样硬化与脑梗塞关系密切。Objective To study regularity of atherosclerosic development and distribution in extracoronary arteries and its relation to risk factors in high risk group of atherosclerosis. Methods Extracoronary atherosclerosis was investigated with ultrasound in subjects exposed to multiple cardiovascular diseases and undergone stepwise multiple regress analysis with cardiovascular risk factors. Results Incidence of carotid, subclaviscular , abdominal aortic , femoral and common iliac artery atherosclerosis was 73%, 63%, 56%,54% and 51% respectively. The simple atherosclerostic plaque is the most common of three types( P <0.01); The incidence and IMT of femoral, abdominal aortic and iliac artery atherosclerosis were significantly higher in coronary artery disease (CAD) than those in the other groups( P <0.01);The incidence and IMT of carotid artery atherosclerosis in subjects with stroke were significantly higher than those in other groups;The age,systolic blood pressure and triglyceride were significantly associated with extracoronary atherosclerosis. Conclusion In descending order of incidence of extracoronary atherosclerosis,these were carotid,subclavicular,abdominal aortic,femoral and common iliac artery. The atherosclerosis of femoral,iliac and abodominal arteries was closely associated with CAD,and the atherosclerosis of carotid artery was significantly associated with stroke. [

关 键 词：超声显像 外周动脉 动脉粥样硬化 心血管危险因素 

分 类 号：R543.5[医药卫生—心血管疾病]