超声评价冠心病患者颈动脉粥样硬化与冠状动脉粥样硬化的相关性  

Evaluation of correlation between carotid atherosclerosis and coronary atherosclerosis in patients with coronary heart disease by sonography

作　　者：赵蕊[1] 秦妍滨[2] 李晶晶[1] 袁伟[3] 赵巾金[1] 齐妙[2] 

机构地区：[1]辽宁医学院沈阳军区总医院临床实习基地,辽宁锦州121000 [2]沈阳军区总医院超声科,辽宁沈阳110016 [3]大连医科大学沈阳军区总医院临床实习基地,辽宁大连116044

出　　处：《临床军医杂志》2015年第4期357-359,412,共4页Clinical Journal of Medical Officers

摘　　要：目的探讨冠心病患者颈动脉粥样硬化与冠状动脉粥样硬化的相关性。方法将150例临床上确诊为冠心病的患者依据冠状动脉造影检查结果分为三组:单支病变组58例,双支病变组50例,三支病变组42例,对三组患者进行颈动脉超声检查,观测颈动脉内一中膜厚度(IMT)、颈动脉斑块、颈总动脉内径等指标,并进行比较。分析它们与,冠状动脉病变支数之间的关联性。结果 150例冠心病患者中,双支病变组及三支病变组与单支病变组比较均有IMT增厚、Crouse积分较高及颈总动脉内径增宽(P<0.01)。结论颈动脉粥样硬化与冠状动脉粥样硬化有紧密的相关性,随着颈动脉硬化程度的增高,冠脉病变程度随之加重。Objective To explore the correlation between carotid atherosclerosis and coronary atherosclerosis in patients with coronary heart disease.Methods A total of 150 patients with coronary heart disease were divided into three groups according to the findings of coronary angiography,i.e.single-vessel disease group （n =58）,double-vessel disease group （n =50） and three-vessel disease group （n =42）.All the patients underwent sonography for thc detection of carotid intima-media thickness （IMT）,carotid plaques and arterial diameter.Results The double-vessel disease group and three-vessel disease group had higher IMT,plaque Crouse score and arterial diameter than the single-vessel disease group （P ＜ 0.01）.Conclusion Carotid atherosclerosis and coronary atherosclerosis have close correlation.With the advance in the degree of carotid atherosclerosis,the coronary artery lesion severity increases accordiugly.

关 键 词：超声 冠心病 颈动脉粥样硬化 

分 类 号：R541.4[医药卫生—心血管疾病]