颈动脉粥样硬化与冠心病的相关性研究

Study on relativity of atherosclerosis of neck and coronary heart disease

目的:探讨颈动脉粥样硬化与冠心病的相关性。方法:选择因心绞痛、心肌梗死及胸痛待查入院患者80例,行冠状动脉造影检查,并在造影前后1周内对上述患者行颈动脉血管彩色多普勒超声检查,根据造影结果分为冠心病单支病变组、多支病变组和正常对照组,比较各组间所测得的颈动脉内膜中层厚度及斑块发生率。结果:随着冠状动脉病变严重程度的增加,颈动脉内膜中层厚度和斑块发生率随之增高。结论:颈动脉粥样硬化与冠心病有明显相关性,颈动脉血管彩色多普勒超声检查可用于预测冠状动脉粥样硬化的病变程度。

Objective To investigate whether atherosclerosis of neck artery is associated with coronary heart disease.Methods Eighty patients with chest pain,angina pectoris and myocardial infarction were enrolled in the study.All patients received coronary angiography and color Doppler ultrasound of neck artery in one week.According to the coronary angiography,all patients were divided three groups,one-vessel group,multi-vessel group and normal control group.The intima-media thickness and incidence rate of plaque of neck artery were compared among each group.Results Intima-media thickness and incidence rate of plaque of neck artery increased with the increasing of coronary artery lesion degree.Conclusion Atherosclerosis of neck artery is closely related to coronary heart disease. Color Doppler ultrasound of neck artery may be used to predict coronary artery lesion degree of atherosclerosis.