超声评价冠状动脉病变与腹主动脉内-中膜厚度及斑块的相关性研究.docVIP

精品论文 参考文献 超声评价冠状动脉病变与腹主动脉内-中膜厚度及斑块的相关性研究 赵瑞虹 郑丽娟 (黑龙江省医院 150036） 【中图分类号】R541.4 【文献标识码】A【文章编号】1672-5085（2011）45-0078-02 【摘要】 目的 研究腹主动脉内中膜-厚度（IMT）与斑块发生率对冠心病患者的诊断价值。方法 用彩色多普勒超声检测21例冠状动脉单支病变及30例双支以上病变组和50例正常对照组的腹主动脉IMT和斑块发生率，分析并比较三组之间存在的差异。结果 腹主动脉IMT及斑块发生率于各组间均有显著性差异，单支病变组及双支以上病变组冠心病患者腹主动脉IMT和斑块发生率与正常对照组比较均增高，有统计学意义（Plt;0.05）,而双支以上病变组冠心病患者腹主动脉IMT和斑块发生率显著高于单支病变组，有统计学意义（Plt;0.05）。结论 冠状动脉病变与腹主动脉IMT变化及斑块发生率有很好的相关性，通过检查腹主动脉IMT及斑块发生率可以预测冠状动脉病变程度，对疑有冠心病的患者具有较好的筛选及预测价值。 【关键词】 腹主动脉 粥样硬化斑块 Ultrasonic Assessment of Relativity between Abdominal Aorta Intima-media Thickness and the Atherosclerosis Spots in Coronary Heart Disease Zhao Ruihong Zheng lijuan Department of Ultrasound,Heilongjiang Provincial Hospital,Harbin,150036 China 【Abstract】Objective To study the intima-media thickness(IMT) and occurring rate of atherosclerosis spots of abdominal aorta in patients with coronary heart disease(CHD).Methods The IMT and occurring rate of atherosclerosis spots of abdominal aorta in 1-vessel group(n=30) with CHD and multiple group (n=31) with CHD and 40 normal subjects(n=40) were measured by color Doppler ultrasound so as to explore the difference among the 3 groups.Results In 1-vessel group and multiple group,IMT and occurring rate of atherosclerosis spots all increased distinctly than those in normal subjects（Plt;0.05）.In multiple group.IMT was thicker remarkably,and occurring rate of atherosclerosis spots of abdominal aorta are well related with CHD,which may reflect the extent and range of CHD.CHD could be predicted with ultrasonic abdominal aorta parameters by abdominal aorta ultrasound. 【Key words】Coronary heart disease Abdominal aorta Atherosclerosis spot 动脉粥样硬化斑块是冠心病（coronary heart disease，CHD）患者的最常见病因，近年来，国内外的研究重点是通过颈动脉及股动脉来预测冠心病，但对腹主动脉与冠心病相关性研究报道不多。本文用彩色多普勒超声（color Doppler ultrasound,CDUS）诊断仪检测冠心病患者腹主动脉的IMT和斑块发生率，结果与正常对照组对比分析，探讨通过腹主动脉的病变程度来间接推测冠状动脉病变的严重程度。 资料与方法 1.研究对象 随即选择2009年7月至2010年5月因心绞痛、不明原因胸痛或心肌梗塞并接受冠状动脉造影检查的101例患者作为研究对象。根据冠状动脉阻塞的支数分为冠脉正常组