联合颈部血管彩超及CTA评价动脉粥样硬化与脑梗死关联性研究

A Remark on the Correlation of Atherosclerosis and Cerebral Infarction by Combining Double Carotid Chromatic Ultrasonic(DCCU) with CTA

目的探讨颈部血管彩超及CTA在动脉粥样硬化性脑梗死临床应用价值。方法以60例前循环动脉粥样硬化性脑梗死患者为病变组,35例未发生脑梗死患者为对照组,经颈部血管彩超及CTA检查。结果二者颈动脉粥样斑块发生率有显著差异,颈动脉斑块最常见颈总动脉分叉处,多以病灶同侧多见,易形成血管狭窄。结论颈动脉粥样硬化与脑梗死的发病关系:早期发现颈动脉粥样硬化及了解血管狭窄对预防或治疗脑梗死的发生有重要意义。

Objective To assess the clinical value of DCCU and CTA in atherosclerotic cerebral infarction.Methods A study was conducted involving 60 anterior circulation atherosclerotic cerebral infarction patients as patient groups and 35 patients without cerebral infarction as control groups undergoing DCCU and CTA.Results There are distinct differences in rates of carotid atherosclerosis plaque.The occurrence rates of carotid atherosclerotic plaques in CI patients and control group were respectively 72% and 12%.Carotid atherosclerotic plaques were mostly located at the bifureation of the carotid artery,and occurred in the same side of stroke focus,which often led to vascular stenosis.Conclusion The correlation between carotid atherosclerosis and cerebral infarction：It is of vital importance to find carotid atherosclerosis at an early stage and understand vascular stenosis to prevent or treat the occurrence of cerebral infarction.