颈动脉粥样硬化斑块超声表现与脑梗死关系.docVIP

颈动脉粥样硬化斑块超声表现与脑梗死关系 　　[摘要] 目的 探讨颈动脉粥样硬化斑块的超声表现与脑梗死的关系。 方法 对50例脑梗死患者（脑梗死组）和30例体检中心正常体检者（对照组）进行颈动脉彩色多普勒超声检查。 结果 脑梗死组颈动脉粥样硬化斑块的检出率明显高于对照组（χ2=15.57，P＜0.01）。脑梗死组中软斑和溃疡斑的检出率均明显多于对照组（χ2=6.83和5.96，均P＜0.01），而扁平斑和硬斑的检出率均明显少于对照组（χ2=9.46和9.37，均P＜0.01）。 结论 脑梗死的发生与颈动脉粥样硬化，特别是斑块的稳定性关系密切。颈动脉彩色超声检查可早期评价和判断动脉粥样硬化的进展程度，为脑梗死的治疗和预后判断提供依据。 　　[关键词] 脑梗死；颈动脉粥样硬化斑块；彩色多普勒超声 　　[中图分类号] R445.1 [文献标识码] B [文章编号] 1673-9701（2012）01-103-02 　　 　　The relation between Ultrasonically appearance of carotid atherosclerotic plaque and cerebral infarction 　　XIA Linv JIN Yi QIAN Lingfei 　　Department of B-scan Room, the Luqiao Branch of Enze Medical Center of Taizhou City in Zhejiang Province, Taizhou 318050, China 　　 　　[Abstract] Objective To explore the relation between ultrasonically appearance of catotid atherosclerotic plaque and cerebral infarction. Methods All of 50 patients with cerebral infarction (infarction group) and 30 healthy people(control group) got color doppler ultrasound exame for carotid artery. Results The detectable rate of carotid atherosclerotic plaque was significanlt higher than that of control group(χ2=15.57，P＜0.01). The detectable rates of carotid soft and ulcer plaques were significantly higher than that of control group(χ2=6.83 and 5.96，both P＜0.01), but the rate of flat and hard plaques were just the oppsite(χ2=9.46 and 9.37，both P＜0.01). Conclusion Stroke occurrence is closely correlated to the carotid arteriosclerotic plaque, espicially to the stability of the plaque. We can evalue the progression of the carotid atherosclerotic plaque in the early stage by the color doppler ultrasound, so as to be the basis of treatment and predicting prognosis. 　　[Key words] Cerebral infarction; Carotid atherosclerotic plaque; Color doppler ultrasound 　　 　　近年来研究发现颈动脉粥样硬化斑块，特别是斑块的稳定性是脑梗死的主要病因和病理???基础[1]。而引起脑梗死病变的部位不在颅内段颈动脉而在颅外段颈动脉[2]。为此，我们对我院2009年1月～2010年12月住院的脑梗死患者的颅外段颈动脉进行彩色多普勒超声检测，以探讨颈动脉粥样硬化斑块与脑梗死的关系。现报道如下。 　　 　　1 资料与方法 　　1.1 一般资料 　　选择2009年1月～2010年12月我院神经科住院治疗的脑梗死患者50例（脑梗死组）