进展性缺血性脑卒中与颈动脉斑块性质的关系

Relationship between Advanced Ischemic Cerebral Apoplexy and Property of Carotid Plaque

目的:探讨进展性缺血性脑卒中与颈动脉斑块性质之间的关系。方法:对78例进展性缺血性脑卒中患者及72例对照性缺血性脑卒中患者行颈动脉超声检查,比较两者的颈动脉粥样斑块特征、程度。根据颈动脉超声检查将颈动脉斑块分为稳定斑块和不稳定斑块(软斑、溃疡斑)进行比较。结果:进展组颈动脉斑块发生率与对照组差异无统计学意义。进展组颈动脉斑块以不稳定斑块(51.6%)为主,且进展组不稳定斑块(软斑、溃疡斑)发生率显著高于对照组(P<0.01)。结论:颈动脉斑块的不稳定性与进展性缺血性脑卒中的发生密切相关。颈动脉斑块的性质可以作为预测缺血性脑卒中进展的指标。

Objective：To investigate the relationship between advanced ischemic cerebral apoplexy and property of carotid plaque. Method： 78 cases of advanced ischemic cerebral apoplexy and 72 cases of control ischemic cerebral apoplexy were examined by carotid ultrasonography. The characteristics and degrees of carotid plaque were compared between the two groups. The carotid plaques were divided into stable plaque and unstable plaque（soft plaque, ulcer plaque） and compared according to carotid ultrasonography. Results： The incidence rate of carotid plaque had no statistical difference between advanced and control group. The carotid plaques were main unstable plaque（51.6 % ） in advanced group and the incidence rate of unstable plaque（soft plaque, ulcer plaque） was higher in advanced group than in control group（P〈0.01）. Conclusion：The unstability of carotid plaque has a close relation with advanced ischemic cerebral apoplexy. The property of carotid plaque is an index in calculating the progress of ischemic cerebral apoplexy.