颈动脉粥样硬化对冠心病诊断的价值  

Value of carotid atherosclerosis in diagnosis of coronary atherosclerosis

作　　者：林庆民[1] 张音佳[1] 陈海兵[1] 吴昱[1] 何还珠[1] 

机构地区：[1]华东医院超声波室,200040

出　　处：《上海医学影像》2002年第3期192-194,共3页Shanghai Medical Imaging

摘　　要：目的 探讨颈动脉粥样硬化与冠状动脉粥样硬化的关系从而了解颈动脉粥样硬化对冠心病的诊断价值。方法通过对同一患者行颈动脉超声及冠状动脉造影检查,根据冠状动脉造影结果分为阴性组和阳性组,并将阳性组分为一支病变组、二支病变组和三支病变组。通过超声测定血管后壁内中膜厚度(IMT),斑块厚度并计算斑块积分,对各组IMT及斑块积分进行统计学处理。结果 颈动脉粥样硬化对冠心病有预测价值。阳性组的IMT及斑块积分均大于阴性组。右侧颈动脉组的预测性较左侧略高。结论 颈动脉粥样硬化对冠心病的预测价值很大。Purpose To evaluate the relation of carotid atherosclerosis to coronary disease. Methods These patients were divided into negative group and positive group, the positive group include one - vessel group, two - vessel group and three - vessel group. At the same time, the IMT and plaque thickness were measured and calculated the plaque score. Results The more serious the coronary atherosclerosis s, the higher the scores IMT and thickened plaques . There are higher values in the right carotid than left carotid. Conclusion Carotid atherosclerosis has great value in predicting coronary artery disease.

关 键 词：颈动脉粥样硬化 冠心病 诊断 超声检查 冠状动脉造影 

分 类 号：R541.4[医药卫生—心血管疾病]