颈动脉蹼形态结构多样性与缺血性脑卒中发生的相关性  

Correlation between the morphological structure diversity of carotid web and ischemic stroke

作　　者：黄志勇[1] 吴杰莹 罗伟权[1] 吴浩堂[1] 吴汉辉[1] HUANG Zhiyong;WU Jieying;LUO Weiquan(Department of Medical Ultrasound,Hospital of Traditional Chinese Medicine of Zhongshan,Zhongshan 528400,China)

机构地区：[1]中山市中医院超声科,广东中山528400 [2]中山市中医院检验科,广东中山528400

出　　处：《中风与神经疾病杂志》2020年第8期729-731,共3页Journal of Apoplexy and Nervous Diseases

摘　　要：目的分析颈动脉蹼的长度、角度、厚度、基底部弧长、开口方向、合并斑块及血栓与缺血性脑卒中发生率的相关性。方法选取经DSA确诊为颈动脉蹼的46例患者,其中缺血性脑卒中患者21例设为研究组;无缺血性脑卒中患者25例为对照组,采用彩色多普勒超声分别测量两组的颈动脉蹼长度、角度、厚度、基底部弧长,观察其开口方向,是否合并斑块、血栓形成。结果研究组颈动脉蹼的长度、角度、基底部弧长大于对照组(P<0.05);研究组颈动脉蹼合并斑块和血栓发生率均高于对照组(P<0.05),但两组颈动脉蹼的厚度、开口方向无显著差异(P>0.05)。结论颈动脉蹼的长度、角度、基底部弧长、合并斑块或血栓与缺血性脑卒中发生密切相关,可作为评估颈动脉蹼患者预后的有效指标。Objective To analyze the correlation between the length,angle,thickness,arc length,opening direction,plaque and thrombus of carotid web and the incidence of ischemic stroke.Methods Forty six patients with carotid web diagnosed by DSA were selected,of which 21 were ischemic stroke patients as the study group and 25 were non ischemic stroke patients as the control group,Color Doppler Ultrasound was used to measure the length,angle,thickness and arc length of the carotid web in the two groups respectively,and to observe the opening direction,whether there were plaques and thrombosis.Results The length,angle and arc length of the base of the web in the study group were longer than those in the control group(P<0.05).The incidence of plaques and thrombus in the study group was higher than that in the control group(P<0.05),but there was no significant difference in the thickness and opening direction of the web between the two groups(P>0.05).Conclusion The length,angle,arc length of the base,plaque or thrombus are closely related to the occurrence of ischemic stroke,which can be used as an effective index to evaluate the prognosis of patients with carotid web.

关 键 词：颈动脉蹼 缺血性脑卒中 彩色多普勒超声 

分 类 号：R743.3[医药卫生—神经病学与精神病学]