颈动脉粥样硬化斑块与脑梗死的相关性

Correlation between Carotid Atherosclerotic Plaque and Cerebral Infarction

目的探讨脑梗死患者颈动脉粥样硬化的发生率及颈动脉超声检查对脑梗死诊断治疗的指导意义。方法对脑梗死患者88例及对照组86例,运用高频彩超检测患者颈动脉管壁变化(包括内膜中层厚度,动脉粥样斑块形成)及管腔变化。结果脑梗死患者颈动脉粥样硬化斑块检出率67.0%,对照组11.6%。结论高频超声能有效检测脑梗死患者的颈动脉管壁及管腔的变化,为临床治疗提供有价值的信息。

Objective To study the occurrence rate of carotid atherosclerosis in patients with cerebral infarction and guiding significance of diagnosis and treatment of cerebral infaretion using ultrasonic examination of carotid artery,Methods There were 88 cases of cerebral infarction and 86 controls who were detected by high frequency color ultrasonic technique for the changes of carotid wall(including the thickness of intimal middle layer and forma- tion of atherosclerotic plaque)and lumen,Results Detectable rate of carotid atherosclerotic plaque in patients with cerebral infarction was 67.0% and in the control group, 11.6%,Conclusion The high frequency ultrasonic technique can effectively detect the changes of carotid wall and lumen in patients with cerebral infarction and give val- uable information for clinical treatment.