颈动脉超声检查在急性脑梗死诊断中的应用  

Application of carotid ultrasonography in the diagnosis of acute cerebral infarction

作　　者：胡海燕 李国杰 刘表虎 胡献金[1] 刘维洲[2] HU Haiyan;LI Guojie;LIU Biaohu;HU Xianjin;LIU Weizhou(Department of Ultrasound,Tongling People′s Hospital,Tongling 244000,China)

机构地区：[1]铜陵市人民医院超声科,安徽铜陵244000 [2]铜陵市人民医院神经内科,安徽铜陵244000 [3]皖南医学院第一附属医院弋矶山医院超声医学科,安徽芜湖241001

出　　处：《皖南医学院学报》2020年第4期380-382,共3页Journal of Wannan Medical College

基　　金：铜陵市卫生和计划生育委员会医学科研项目(卫科研〔2016〕5号)。

摘　　要：目的:探讨颈动脉超声检查在急性脑梗死筛查诊断中的应用效果。方法:在铜陵市人民医院2017年1月~2018年12月诊断为急性脑梗死(ACI)患者中随机选取30例作为观察组,同期随机选取非急性脑梗死患者30例作为对照组。利用超声检查两组患者的颈动脉内中膜及斑块情况并进行数据分析。结果:ACI组患者颈动脉内中膜增厚(86.67%)、颈动脉斑块检出率(90.00%)均高于对照组(50.00%和26.67%)(P<0.05);ACI组患者多发斑块检出率(70.37%)高于对照组(25.00%)(P=0.039)。ACI组患者斑块低回声及混合性回声检出率(88.89%)高于对照组(50.00%)(P=0.033)。结论:ACI患者中颈动脉斑块以多发斑块及不稳定性斑块多见,颈部超声检查是重要的辅助诊断方法。Objective:To investigate the effect of carotid ultrasonography in the screening diagnosis of acute cerebral infarction.Methods:Thirty patients with acute cerebral infarction were randomly included from January 2017 to December 2018 in the observational group,and another 30 patients without acute cerebral infarction were recruited as controls.Patients in the two groups underwent ultrasonography to examine the carotid intima-media thickness and plaques,and then the data generated from the examination were analyzed and compared.Results:The detection rate of carotid intima-media thickness,presence of carotid plaques and multiple plaques were significantly higher in the observational than in the control group(86.67%vs.50.00%;90.00%vs.26.67%;70.37%vs.25.00%,P<0.05,P<0.05,P=0.039).88.89%plaques were soft and mixed in the observational group,whereas 50.00%of those were hard in the controls.The difference was significant(P=0.033).Conclusion:The plagues at carotid are multiple and unstable in patients with acute cerebral infarction,and carotid ultrasound can be an important auxiliary diagnosis for such condition.

关 键 词：急性脑梗死 颈动脉超声 诊断 应用 

分 类 号：R445.1[医药卫生—影像医学与核医学] R743.33[医药卫生—诊断学]