多普勒超声在颈总动脉粥样硬化斑块稳定性与脑梗死相关性研究中的应用.docVIP

精品论文 参考文献 多普勒超声在颈总动脉粥样硬化斑块稳定性与脑梗死相关性研究中的应用 （广东省珠海市人民医院超声影像科 广东珠海 519000） 　　【摘要】目的：探讨多普勒超声在颈总动脉粥样硬化斑块稳定性与脑梗死相关性研究中的应用。方法：选取2015年1月～2015年12月我院门诊及住院劲动脉彩色多普勒超声检查7500例，并经脑血管造影（DSA）证实非脑血管疾病患者235例作为参照组，证实为脑梗死患者286例作为观察组，比较两组超声结果。结果：观察组颈总动脉粥样硬化斑块检出率96.15%，参照组检出率51.91%，两组斑块检出率差异有统计学意义（Plt;0.05）；观察组患者不均回声不规则型斑块、溃疡斑块、低回声斑的发生率61.95%明显高于对照组33.33%，差异具有统计学意义（Plt;0.05）；颈总动脉分叉处是粥样硬化斑块发生率最高的好发部位，颈总动脉仅次之，梗死病灶侧的粥样硬化程度显著较健侧高（Plt;0.05）。结论：颈动脉粥样硬化不稳定斑块是导致患者出现脑血管疾病进而发展为脑梗死的重要因素。因此，多普勒超声对颈总动脉粥样硬化斑块的检查诊断，及早发现治疗对有效预防脑梗死具有重要意义。 　　【关键词】脑梗死；多普勒超声；颈总动脉硬化斑块 　　【中图分类号】R445.1 【文献标识码】A 【文章编号】1007-8231（2016）18-0021-02 　　 The application of Doppler ultrasound in the study of the relationship between carotid atherosclerotic plaque stability and cerebral infarction 　　 Zhou Panyan,Zhang Heng,Xie Peikai,Gao Xiaomei. 　　 Ultrasound Imaging Department of Zhuhai Peoples Hospital of Guangdong Province, Zhuhai Guangdong,519000 　　【Abstract】Objective To explore the application of Doppler ultrasonography in the study of the relationship between carotid atherosclerotic plaque stability and cerebral infarction. Methods Selected from January 2015 to December 2015 in our hospital outpatient and 75 cases of hospitalized carotid color Doppler ultrasonography, and by DSA confirmed non cerebral vascular disease in patients with 235 cases as the reference group, confirmed 286 cases of cerebral infarction patients as the observation group, compared two groups of ultrasound results.Results The observation group of carotid atherosclerotic plaque detection rate was 96.15%higher than that of the control group the detection rate of 51.91% (Plt;0.05) ; The patients in the observation group were uneven echo irregular plaque, ulcer plaque, hypoechoic spot incidence of 61.95% was significantly higher than the control group 33.33%, the difference was statistically significant (Plt;0.05).The bifurcation of common carotid artery atherosclerotic plaque is the highest incidence rate of primary site