颈动脉彩超检查在高血脂病诊断中的应用  

Application of carotid artery color Doppler ultrasound examination in the diagnosis of hyperlipidemia

作　　者：王凡 

机构地区：[1]河南省许昌市中心医院南区医院彩超室,许昌461000

出　　处：《临床医学》2016年第10期13-14,共2页Clinical Medicine

摘　　要：目的探讨彩超检查高血脂病患者颈动脉粥样硬化斑块的临床诊断效果及价值。方法选取2014年1月至2016年1月确诊的高血脂病患者44例作为观察组,另取同期就诊的非高血脂患者48例作为对照组。分析并比较两组患者的颈动脉彩超、二维图像。结果观察组内-中膜增厚检出率、斑块数量、混合斑例数、软斑例数及伴管腔狭窄例数均高于对照组,差异有统计学意义(P<0.05)。两组颈外动脉起始、颈内动脉起始、颈总动脉、颈动脉交叉等斑块部位分布人数比较差异未见统计学意义(P>0.05)。观察组颈总动脉阻力指数(RI)、搏动指数(PI)、收缩期峰值流速(PSV)均高于对照组,差异有统计学意义(P<0.05)。结论颈动脉粥样硬化斑块和高血脂存在一定关系,应用彩超检查斑块的效果良好,利于判断预后,为临床制定诊疗措施提供依据。Objective To study the clinical diagnosis effect and value of color Doppler ultrasound examination on hyperlipidemia patients. Methods From January 2014 to January 2016,44 patients diagnosed as hyperlipidemia were selected as observation group,48 patients with non-hyperlipidemias in the same period as control group. The carotid artery colour Doppler ultrasound and two-dimensional images were compared. Results The detection rate of membrane thickening,patch number,the number of mixed stain,soft spot number and the number of luminal stenosis in the observation group were higher than those in the control group,there were significant differences（ P〈0. 05）. The external carotid artery,internal carotid artery in patients with initial and common carotid artery and carotid artery plaque area distribution number comparison had no significant difference between the two groups（ P〈0. 05）. The common carotid artery RI,PI,PSV in observation group were higher than those in the control group,there were significant differences（ P〈0. 05）. Conclusion There is certain relationship between carotid atherosclerotic plaques and hyperlipidemia,color Doppler ultrasound examination has good effect,it is conducive to judge prognosis,and provide a basis for clinical diagnosis and treatment.

关 键 词：高血脂病 彩超 颈动脉斑块 诊断效果 

分 类 号：R445.1[医药卫生—影像医学与核医学] R589.2[医药卫生—诊断学]