超声评价老年退行性心脏瓣膜病与颈动脉粥样硬化的关系  

Relationship between Senile Degenerative Heart Valve Disease and Carotid Atherosclerosis via Ultrasonic Evaluation

作　　者：蒋蓓[1] 

机构地区：[1]西安交通大学医院超声科,陕西西安710049

出　　处：《中国医疗设备》2016年第10期62-64,共3页China Medical Devices

摘　　要：目的探讨老年退行性心脏瓣膜病(Senile Degenerative Heart Valve Disease,SDHVD)与颈动脉粥样硬化(Carotid Atherosclerosis,CAS)之间的关系。方法选择93例SDHVD患者作为研究组,50例无SDHVD患者作为对照组,超声检测并对比两组患者不同级别心脏瓣膜病钙化程度和颈动脉内膜中层厚度(IMT)、斑块检出率、颈动脉斑块积分及管腔狭窄程度,进行对比分析。结果研究组患者的IMT、斑块检出率、颈动脉斑块积分均高于对照组,且随着心脏瓣膜钙化级别的升高,IMT、斑块检出率及斑块积分也显著升高;研究组颈动脉管腔闭塞率及管腔狭窄率均显著高于对照组。结论 SDHVD与CAS二者之间具有显著密切关系。Objective To discuss the relationship between senile degenerative heart valve disease（SDHVD） and carotid atherosclerosis（CAS）. Methods Altogether 93 cases of SDHVD patients and 50 cases of non-SDHVD patients were selected as Study Group and Control Group, respectively. Ultrasound was used for detection, comparison and analysis of different heart valve calcification levels, carotid artery intima media thickness（IMT）, plaque detection rate, carotid plaque score and percent lumen stenosis of two groups. Results The IMT, plaque detection rate and carotid plaque score of Study Group were higher than those of Control Group. And with the increase of the heart valve calcification level, the IMT, plaque detection rate and carotid plaque score were also significantly increased. The carotid plaque score and percent lumen stenosis of Study Group were significantly higher than those of Control Group. Conclusion An obviously closed relationship was found between SDHVD and CAS.

关 键 词：老年退行性心脏瓣膜病 颈动脉粥样硬化 彩色多普勒超声 斑块检出率 颈动脉狭窄 

分 类 号：R445.1[医药卫生—影像医学与核医学] R542.5[医药卫生—诊断学]