超声测量颈动脉内膜中层厚度与颈动脉斑块的关系.pdf

CN 43 - 1262/ R 中国动脉硬化杂志 2000 年第 8 卷第 2 期 165 ( ) [文章编号] 　1007 - 3949 2000 - 02 - 0165 - 04 ·临床研究 · 超声测量颈动脉内膜中层厚度与颈动脉斑块的关系 1 1 2 许竹梅 , 　赵水平 , 　范 　平 (湖南医科大学附属第二医院 1. 心内科 , 2 . 超声室 ; 湖南省长沙市 410011 ) [主题词] 　超声 ; 　颈动脉 ; 　内膜中层厚度 ; 　动脉粥样硬化 [摘 　要] 　为了探讨颈动脉内膜中层厚度与局限性颈动脉斑块的联系 ,对 91 名受试对象的颈总动脉内膜中层厚 度及颈内动脉和颈动脉分叉处的斑块进行超声检测 ,并将颈动脉内膜中层厚度进行分级 。结果观察到有斑块者较 ( ) 无斑块者其颈动脉内膜中层厚度明显增加 0 . 83 ±0 . 16 mm 比0 . 64 ±0 . 12 mm , P 0 . 01 ,且随斑块的严重程度增 加 ,其内膜中层厚度呈增厚趋势 。该结果支持颈总动脉内膜中层厚度与颈动脉局限性动脉粥样硬化斑块明显相 关 ,提示颈动脉内膜中层厚度增厚可能是颈动脉粥样硬化的早期表现 。 [ 中图分类号] 　R543 . 4 　　　　　[文献标识码] 　A Relation of Itima - Media Thickness to Plaque in Carotid Arteries Measured by Ultra sound XU Zhu - Mei , ZHAO Shui - Ping , and Fan - Ping ( Dep artment of Cardiology , the Second Aff iliated Hospital , Hunan Medical University , Changsha 410011 , China) MeSH　　Ultrasound ; 　Carotid Artery ; 　Intima - Media Thickness ; 　Atherosclerosis ABSTRACT 　　Aim 　The paper was done to evaluate the relations between intima - media thickness ( IMT) of common carotid artery (CCA) and plaque in the internal carotid artery ( ICA) and bifurcations (CBs) . 　　Methods 　B - mode ultrasound ex amination of carotid arteries was per formed in 91 subj ects. 　B - mode ultrasound examination include measurement of CCA - IMT and the sites of plaque in the ICA and CBs. 　　Results 　The results showed that the prevalence of plaque increased from the ( ) lowest to the high