颈动脉斑块分布、性质及狭窄程度与脑梗死的相关性分析  

CORRELATION ANALYSIS THE DISTRIBUTION,NATURE OF CAROTID ARTERIES PLAQUES AND STENOSIS WITH CEREBRAL INFARCTION

作　　者：段春苗[1] 石富铭[1] 

机构地区：[1]北京市大兴区人民医院,102600

出　　处：《中国煤炭工业医学杂志》2017年第4期440-443,共4页Chinese Journal of Coal Industry Medicine

摘　　要：目的分析颈动脉斑块分布、性质及狭窄程度与脑梗死的相关关系。方法于2015年1月—2016年1月,在该院随机选取60例脑梗死患者(脑梗死组)和60例无脑梗死病史患者(对照组)。二组患者均行颈动脉多排螺旋CT血管成像,观察比较二组患者的颈动脉斑块分布、性质及狭窄程度。结果脑梗死组有47例患者检出各种类型的斑块共139处,其中软斑块45处(32.4%),钙化斑块28处(20.1%),混合斑块66处(47.5%),而对照组有18例患者检出各种类型的斑块共31处,其中软斑块4处(12.9%),钙化斑块19处(61.3%),混合斑块8处(25.8%),脑梗死组患者的斑块检出率明显高于对照组(P<0.05)。而二组患者斑块最好发部位均为颈总动脉,二组患者斑块分布情况无明显差异(P>0.05)。脑梗死组有42例患者发现颈动脉狭窄134处,其中轻度狭窄36处(26.9%),中度狭窄45处(33.6%),重度狭窄34处(25.4%),血管闭塞8例(6.0%),而对照组有11例患者发现动脉狭窄21处,其中轻度狭窄19处(90.5%),中度狭窄2处(9.5%),脑梗死组患者的颈动脉狭窄检出率明显高于对照组(P<0.05)。结论颈动脉斑块性质和颈动脉狭窄程度与脑梗死具有密切相关性。Objective To analyze the correlation between the distribution, nature of carotid arteries plaques and stenosis with cerebral infarction. Methods From January 2015 to January 2016,60 patients with cere- bral infarction{cerebral infarction group）and 60 patients with no cerebral infarction（control group） were randomly selected from author＇s hospital. The distribution, nature of carotid arteries plaques and stenosis were observed and compared between the two groups by multi- slice spiral CT angiography. Results To- tally 139 plaques were detected in 47 patients with cerebral infarction,of which 45（32.4%） were soft,28 （20.1%） were calcified,66（47.5%） combined nature of both calcified and soft plaques. While 31 plaques were detected in 18 patients with cerebral infarction, of which 4 （ 12.9 % ） were soft, 19 （61.3% ） were calci- fied,8（25.8%） combined nature of both calcified and soft plaques. The rate of plaque detection in patients with cerebral infarction was significantly higher than the control group（P〈0.05）. On the other hand, 134 carotid arteries stenosis were found in 42 patients of the cerebral infarction group,which included mild ste- nosis in 36（26. 9% ） ,moderate in 45（33. 6% ） ,severe in 34（25.4%）and occlusion in 8（6.0%）. While 21 carotid arteries stenosis were found in 11 patients of the control group,which included mild stenosis in 19 （90.5%）and moderate in 2（9.5 %）, the rate of carotid arteries stenosis detection in patients with cerebral infarction was significantly higher than the control group（P〈0.05}. Conclusion The nature of carotid ar- tery plaque and carotid artery stenosis is closely related to cerebral infarction.

关 键 词：颈动脉斑块 颈动脉狭窄 脑梗死 CT 

分 类 号：R743[医药卫生—神经病学与精神病学]