颈动脉粥样硬化的彩超诊断与脑梗死的相关性分析

The analysis of the correlation between the color doppler imaging in diagnosis of carotid artery scleratheroma and the cerebral infarction

目的分析颈部动脉粥样硬化的彩超诊断与脑梗死的相关性。方法对120例缺血性脑血管病患者行彩超诊断分析。常规多切面检查患者颈总动脉、颈内动脉颅外段、颈外动脉及椎动脉的管径、管壁、管腔、血流及频谱情况,重点观察劲总动脉分叉处和颈内动脉起始处。结果120例患者中,发现内-中膜增厚29例,硬化斑块91例。结论彩色多普勒超声作为一种无创伤性检测手段,有助于临床了解血管狭窄的情况及程度,确定是否采用药物治疗或外科手术方法,选择治疗用药,药物治疗后观察斑块的变化,估计预后,预防脑卒中等。对脑梗死患者,及时准确的检测结果可以增加患者的治疗机会,提高病变的治愈率。因此,对临床诊断及治疗缺血性脑病有十分重要的意义。

Objective To analyse the correlation between the color doppler imaging in diagnosis of carotid artery seleratheroma and the cerebral infarction. Methods 120 patients of cerebral infarction were examined with Color Dopppler Imaging in diagnosis of carotid artery scleratheroma. Finally analysis the results. Conventionality examining the carotid artery by multimode shearing-off. Especially observe the crotch of common carotid artery, the start section of internal carotid artery, wall of tube, lumen and the bloodstream. Results In 120 patients：there were 29 cases of endangium and mesolamella incrassation;there were 91 cases of atheromatous plaque. Conclusion As a non-invasive examination, Color Doppler Imaging is the without delay and accurate. It is for the benefit of know about narrow of blood vessel. According to results, the doctor may choose the drug or surgery, observe the curative effect, determinant the prognosis and prevent cerebral apoplexy.The patients have more ehanses to cure disease. Accurate diagnosis can increase cure rate. It is significant for us to diagnose and treat ischemie cerebrosis.