100例冠心病的颈动脉彩色多普勒超声分析  

Analysing characteristics of the carotid artery in 100 cases of coronary heart disease with color Doppler ultrasound

作　　者：夏秀芳[1] 赵丽华[1] 俞名吉 吴炀[1] 夏寅娟[1] 

机构地区：[1]上海市普陀区中心医院超声波室,200062

出　　处：《上海医学影像》2003年第2期142-144,共3页Shanghai Medical Imaging

摘　　要：目的 探讨冠状动脉粥样硬化心脏病变者的颈动脉超声改变与其相关性,以及与血脂的关系。 方法 对82例冠心病、18例心肌梗塞患者和正常对照组20人的颈动脉作彩色多普勒超声检查以及血液中血脂测定。 结果 91.5％冠心病人和100％心肌梗塞病人存在血管内膜-中层(IMT)增厚,斑块和管腔狭窄等变化。斑块以颈总动脉分叉处(BIF)多见、以硬斑为主。血脂检查示LDL-C增高和ApoA I下降。 结论 冠状动脉病变与颈动脉粥样硬化密切相关。测定血液中LDL-C和ApoA I的含量,可作为提示颈动脉粥样硬化的危险因素。Objective To study the ultrasonic characterics of the carotid artery atherosclerosis in patients with coronary heart disease, and discuss the relationship between the carotid artery and coronary artery atherosclerosis and its correlation with plasma lipoprotein. Methods Color Doppler imaging of the carotid artery were performed on 82 cases with coronary heart disease, 12 cases with myocardial infarction disease and 20 normal control subjects. The level of plasma lipoproteins in all subjects was tested. Results Patients in 91.5% of coronary heart disease and the 100% of the myocardial infarction disease showed the evident increase in IMT, plaque and stenosis in carotid artery. The plaques were often shown in the bifucation of carotid, and most of them were hard plaques. The plasma ApoA I was lower and the LDL-C was higher than those in normal group. Conclusions There are close correlation between the carotid atherosclerosis and the coronary artery atherosclerosis in patients with the coronary heart disease. It has clinical value in prediction of the artery atherosclerosis to test the level of plasma LDL-C and ApoA I .

关 键 词：冠心病 颈动脉 彩色多普勒超声 动脉粥样硬化 心肌梗塞 

分 类 号：R541.4[医药卫生—心血管疾病] R445.1[医药卫生—内科学]