超声检测无名动脉及右锁骨下动脉IMT病变在60岁以下成人中的应用价值  

The application value of ultrasound detection of the innominate artery and right subclavian artery IMT lesions in adults under 60 years old

作　　者：李恬 张娜 龚亮 周贵根 徐敏 LI Tian;ZHANG Na;GONG Liang;ZHOU Guigen;XU Min(Women&Children’s Hospital of Hu’nan,Changsha 410000,China)

机构地区：[1]湖南妇女儿童医院,长沙410000

出　　处：《上海医药》2024年第17期69-72,76,共5页Shanghai Medical & Pharmaceutical Journal

基　　金：湖南妇女儿童医院“金草莓项目”基金资助项目。

摘　　要：目的:研究超声检测无名动脉分叉部(innominate artery bifurcation,INA Bif)及右锁骨下动脉起始部(right subclavian artery origin,RSCA Ori)内中膜厚度病变在60岁以下成人中的临床应用价值。方法:随机选取于本院行颈部血管超声检查的体检者685例,按年龄分为4组,对他们的颈动脉、椎动脉、RSCA Ori、INA Bif的内中膜厚度(intimamedia thickness,IMT)病变情况及各血管管腔血流情况进行检测。结果:INA Bif和RSCA Ori显示欠清6例,超声显示满意度99.12%。单纯性INA Bif或RSCA Ori IMT病变例数远高于单纯性颈动脉IMT病变例数。结论:超声检测INA Bif及RSCA Ori IMT病变相对于单纯检测颈动脉IMT病变的敏感度大大提高,能更早期提示动脉粥样硬化,指导临床干预,具有重要临床意义。Objective:To investigate the clinical value of ultrasound detection of intima-media thickness(IMT)lesions at the innominate artery bifurcation(INA Bif)and the right subclavian artery origin(RSCA Ori)in adults under 60 years old.Methods:A total of 685 adults under 60 years old who underwent carotid artery ultrasound examination at our hospital were randomly selected and divided into four age groups.The IMT lesions and blood flow conditions of the carotid artery,vertebral artery,RSCA Ori,and INA Bif were examined.Results:The INA Bif and the RSCA Ori were not clearly displayed in 6 cases,resulting in a display satisfactory rate of 99.12%.The number of cases with isolated IMT lesions at the INA Bif or the RSCA Ori was significantly higher than those with isolated carotid artery IMT lesions.Conclusion:Ultrasound detection of IMT lesions at the INA Bif and the RSCA Ori is more sensitive than that of solely detecting IMT lesions in the carotid artery,which can provide early warning of atherosclerosis and guide clinical intervention,thus is of great clinical significance.

关 键 词：无名动脉分叉部 右锁骨下动脉 内中膜厚度病变 颈动脉超声 动脉粥样硬化 

分 类 号：R445.1[医药卫生—影像医学与核医学] R543.12[医药卫生—诊断学]