彩超在中老年人群颈动脉体检中的作用

Effect of UCG in physical examination of elderly or middle-aged men

目的探讨彩色多普勒血流显像在中老年人群体检中诊断颈动脉粥样硬化的临床价值。方法二维及彩超观察638例中老年人体检患者颈动脉,对其中432例颈动脉硬化患者的超声特点及血流情况进行分析。结果其中动脉硬化432例,动脉粥样斑块形成245例,双侧粥样斑块形成108例,左侧粥样斑块形成61例,右侧粥样斑块形成76例,据声像图表现分为四种类型斑块:扁平斑、软斑、硬斑、溃疡斑。颈动脉狭窄患者19例。双侧病变占68.29%,单侧病变占31.71%。结论该项检查方便、无创、定位准确,检出率可达100%,颈动脉是动脉硬化的好发部位,它的病变出现往往早于冠状动脉和脑动脉。因而彩超对颈动脉粥样硬化斑块的诊断具有较高的临床价值,尤其是无症状的早期病变,可使患者得到早期治疗。

Objective To analysis the clinical value of color doppler flow ultrasound in diagnosing elderly or middle-aged men＇ s carotid artery atherosclerosis. Methods Use two dimensions and high frequency colr dopplar ultrasound to observe 638 elderly or middle-aged men＇s carotid artery which is in physical examiation. Selected 432 patients, analysised the feature of carotid artery atherosclerosis and blood stream situation. Results 432 patients were troubled by artery atherosclerosis, 245 patients were troubled by artery atheroscleresis plaque, 108 patients were troubled by double artery atherosclerosis plaque,f1 patients were troubled by left artery atherosclerosis plaque,76 patients were troubled by right artery atherosclerosis plaque, according to the manifest of sonogram echogram,types of plaques： flat plaque, soft plaque, hard plaque, ulcer plaque. 19 patients were carotid artery narrow, 68.29% of them were double side pathological changes, 31.71% of them were unilateral pathological changes. Conclusions This inspection is convenient, no hurt, accurate location, the detectable rate is 100%. Carotid artery is the fit to contract artery atherosclerosis, it changes early than coro- nary artery and brain artery. So UCG has upper clinical value to the diagnosis of artery atherosclerosis plaque, especially to asymptomatic early period pathological changes, for the patients can be cure in early stage.