超声检测脑梗死患者颈动脉的临床意义

Clinical meaning of carotid artery examination of cerebral infarction patients with ultrasound

目的:应用彩色多普勒超声技术检测脑梗死患者颈动脉血管,研究颈动脉粥样硬化病变特点和血流动力学变化,探讨颈动脉超声检测对脑梗死患者病情监测的临床意义。方法:对观察组200例患者和对照组120例同期住院的非脑梗死患者进行颈动脉彩色多普勒超声检查,检测双侧颈总动脉、颈内动脉内膜中层厚度(IMT)、斑块情况和相关血流参数。结果:观察组CA率为65.50%,以软斑和复合斑为主;对照组CA率为36.67%,以硬斑和扁平斑为主。观察组左右侧CCA的IMT均明显大于对照组;观察组双侧SPV、EDV均低于对照组,两组S/D、RI相比,观察组高于对照组,但无显著差异。结论:颈动脉病变与脑梗死的发病有着密切的关系,多普勒超声用于颈动脉粥样硬化检测可及早、尽快地发现斑块并确定其性质,为临床干预治疗提供依据并做出预报,有着重要的临床应用意义。

Objective：To detect carotid artery of cerebral infarction patients with colorful doppler ultrasound, research carotid artery gruel kind harden pathological changes characteristics and blood dynamics variety, study clinical meaning of cerebral infarction sufferer condition monitor with carotid artery ultrasound examination. Methods：Observation set 200 non-cerebral infarction with hospitalized 120 same period to sufferer and matched controls cerebral infarction the sufferer carry on a super voice of colorful doppler ultrasound of carotid artery check, examination double the side neck total artery, film inside the artery inside the neck intermediate thickness （IMT）, spot piece the circumstance was with related blood parameter. Results：The observation set CA leads to 65.50% and regards the soft spot and the compound spot as principle;The matched control CA leads to 36.67%, was aller obviously big than a matched control regarding the hard spot and the flat even spot as principle IMT of observation set or so side CCA;Observation set double side SPV and EDV was aller low than a matched control, the two sets of S/Ds and RI compares, and the observation set was higher than a matched control, but hadn＇t significant differences. Conclusion：The outbreak of carotid artery pathological changes and cerebral infarction has a close relation, the colorful doppler ultrasound is used for a carotid artery gruel the kind harden examination and be within the reach of and discover a spot piece early and quickly and make sure its property, provide for the clinical intervention treatment basis and do forecast, there is important clinical application meaning.