超声评价颈部血管动脉硬化斑块与缺血性脑血管病的相关性  

Ultrasound Evaluation of the Correlation between Cervical Arteriosclerosis Plaque and Ischemic Cerebrovascular Disease

作　　者：张丹[1] 管敏[1] 吴迪[1] 张锦芳 ZHANG Dan;GUAN Min;WU Di;ZHANG Jin-fang(Dalian Second People's Hospital,Dalian 116011,China)

机构地区：[1]辽宁省大连市第二人民医院,辽宁大连116011

出　　处：《中国医药指南》2020年第17期188-189,共2页Guide of China Medicine

摘　　要：目的分析超声评价颈动脉粥样硬化斑块同缺血性脑血管病的相关性。方法随机将60例确诊为缺血性脑血管病的患者作为实验组,将同期治疗的60例非脑血管病患者作为对照组。对患者均使用超声检测,使用阿洛卡超声诊断仪,调节探头频率为7.5 MHz。患者检测时选择仰卧位,头向后仰,放松颈部偏向检查的另一侧,采用二维常规检查,评价两组患者颈动脉粥样斑块数量以及斑块性质。结果实验组患者和对照组患者颈动脉粥样斑块数量以及斑块性质对比:两组患者的颈动脉粥样斑块检出人数,实验组、对照组分别为44例和23例,检出率分别是73.33%和38.33%,实验组斑块检出率明显高于对照组,具有显著差异(P<0.05);两组患者的不稳定斑块数量比较,实验组、对照组分别为33例、12例,稳定性斑块例数分别为14例和16例,实验组不稳定斑块检出人数显著高于对照组,具有显著差异(P<0.05)。结论缺血性脑血管病患者发生颈动脉粥样硬化斑块人数明显比非脑血管病患者多,而且大部分属于不稳定斑块。Objective To analyze the correlation between carotid atherosclerotic plaque and ischemic cerebrovascular disease by ultrasound.Methods 60 patients with ischemic cerebrovascular disease were randomly selected as the experimental group and 60 patients without cerebrovascular disease treated in the same period as the control group.All patients were examined by ultrasound and Aloka ultrasonic diagnostic instrument was used to adjust the frequency of the probe to 7.5 MHz.Patients choose supine position,head back,relax the neck bias to the other side of the examination,using two-dimensional routine examination to evaluate the number and nature of carotid atherosclerotic plaques in the two groups.Results Comparison of the number and nature of carotid atherosclerotic plaques between the experimental group and the control group:the number of carotid atherosclerotic plaques detected in the experimental group and the control group was 44 and 23 respectively,and the detection rate was 73.33%and 38.33%,respectively.The detection rate of plaque in the experimental group was significantly higher than that in the control group(P<0.05).The number of unstable plaques in the experimental group and the control group was 33 and 12 respectively,and the number of stable plaques in the experimental group and the control group was 14 and 16 respectively.The number of unstable plaques detected in the experimental group was significantly higher than that in the control group(P<0.05).Conclusion The number of carotid atherosclerotic plaques in patients with ischemic cerebrovascular disease is significantly higher than that in patients with non-cerebrovascular disease,and most of them belong to unstable plaques.

关 键 词：超声检测 颈动脉粥样硬化斑块 缺血性脑血管病 

分 类 号：R445.2[医药卫生—影像医学与核医学] R743[医药卫生—诊断学]