彩色多普勒检测颈动脉硬化的临床意义  

Clinical Significance of Color Doppler in Detection of Carotid Sclerosis

作　　者：罗萍[1] 相成[2] 温建中[1] 刘惠芬[1] 

机构地区：[1]江西省南昌市第一医院物理诊断科,江西南昌330008 [2]江西医学院影像系,2000级研究生江西南昌330006

出　　处：《江西医学院学报》2002年第5期129-131,共3页Acta Academiae Medicinae Jiangxi

摘　　要：目的 :探讨彩色多普勒对颈动脉硬化的诊断价值以及其与脑血管病变及冠心病的关系。方法 :对临床怀疑颈动脉病变的 2 5 8例患者进行彩色多普勒常规切面检查 ,测量颈动脉的内径、内膜厚度、斑块大小、斑块性质及血流速度等。结果 :2 5 8例中发现阳性结果为 73% ,其中斑块显示率为 44 %。其中脑梗塞患者 10 0 %颈动脉内膜增厚 ,83%有斑块 ;脑出血患者 95 %颈动脉内膜增厚 ,5 5 %有斑块 ;冠心病患者 94%颈动脉内膜增厚 ,5 2 %有斑块。结论 :颈动脉硬化与心脑血管疾病有密切关系。彩色多普勒检测颈动脉硬化是一种无创伤。Objective: To evaluate the correlation of carotid sclerosis with Cerebrovascular disease and coronary heart disease by color Doppler. Methods: 258 cases with clinical suspection of carotid diseases were examined with color Doppler. Their carotids were measured for the internal diameter, intimate thickness, the size of plaque, the feature of plaque, and the blood flow velocity et. Results: The positive rate was 73% and the plaque display rate was 44%. Among the cerebral hemorrhage,there was 95% patients whose carotid intima became thickness and 55% had plaque.There was 94% patients of coronary heart disease whose carotid intima became thickness and 52% had plaque.Conclusion:Carotid sclerosis has intimate relationship with cardiovascular and Cerebrovascular disease.Color Doppler is a non-invasive,real-time, and accurate method to detect the diseases.

关 键 词：颈动脉硬化 诊断 彩超 

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