不同部位脑梗死患者颈动脉超声特点的研究  

THE ULTRASOUND CHARACTER OF CAROTID ARTERY IN CEREBRAL INFARCTION PATIENTS WITH DIFFERENT LOCATIONS

作　　者：刘斌[1] 张晋霞[1] 臧贺川[1] 李玉荣[1] 宁树成[1] 伊红丽[1] 石秋艳[1] 刘昊[1] 

机构地区：[1]华北煤炭医学院附属医院,河北省唐山市063000

出　　处：《中国煤炭工业医学杂志》2003年第11期1034-1035,共2页Chinese Journal of Coal Industry Medicine

基　　金：河北省教育厅科研项目 ;课题号为E 2 0 0 0 0 2 0 5

摘　　要：目的　探讨不同部位脑梗死患者颈动脉超声的特点。方法　应用HDI- 50 0 0彩色多普勒超声仪分别对脑梗死组和对照组颈动脉进行检测 ,观察血管解剖形态、内膜情况、有无斑块形成及斑块大小、形态、性质 ,管腔是否狭窄及狭窄程度 ,血流动力学改变。脑梗死患者 2 0 7例 ,按头颅CT或MRI结果分为皮质组、皮质下组、皮质与皮质下混合组和椎基底动脉供血组。对照组 45例 ,为同期住院非脑梗死患者。结果　皮质脑梗死组颈动脉斑块发生率为 90 .9% ,高于其他组 ,差异有统计学意义 (P <0 .0 5)。皮质脑梗死组颈动脉狭窄 >50 %的发生率为 2 1 .2 % ,高于其他组 ,差异有统计学意义 (P <0 .0 5)。结论　皮质脑梗死组颈动脉斑块发生率和颈动脉狭窄率 >50 %的发生率高于其他脑梗死组 ,皮质脑梗死与颅外段颈动脉粥样硬化关系密切。Objective To study the ultrasound character of carotid artery in cerebral infarction patients with different locations. Methods The lumen diameter、intima-media thickness、plaque、severity of artery stenosis and hemodynamics of carotid and vertebral arteries in two groups were studied by using HDI-5000 color Doppler ultrasound. 207 patients with acute cerebral infarction group by CT or MRI was separated into cortical infarction group, subcortical infarction group, complex infarction group and vertebra artery infarction group. There were also 45 patients who never happened cerebral vascular in control group. Results The prevalence of carotid plague in patients with carotid infarction was 90.9%, which was higher than other locations(P<0.05). Carotid artery stenosis >50% in patients with cortical infarction was 21.2%,which was higher than other locations(p<0.05). Conclusions The prevalence of carotid plague and the carotid artery stenosis >50% was higher in cortical infarction than other locations. There is a close relationship between carotid atheroscleosis with cortical infarction.

关 键 词：脑梗死 颈动脉超声 血流动力学 CT MRI 诊断 

分 类 号：R743.33[医药卫生—神经病学与精神病学] R445.1[医药卫生—临床医学]