颈动脉粥样斑块形成与非心源性缺血性卒中相关性探讨

Discussion on Correlation Carotid Plaque Formation and Non-cardiac Ischemic Stroke

目的:探讨缺血性卒中部位及严重性与颈动脉彩超所示部位及严重性是否存在明显相关性。方法:回顾性收集急性缺血性脑卒中患者400例,排除心源性卒中,行美国国立研究院卒中量表(NIHSS)评分及颈动脉彩超检查。结果:脑梗死病灶同侧斑块为204例,占51%,病灶对侧斑块为108例,占27%,斑块中均以软斑及混合斑所占比例为高;NIHSS评分轻度者狭窄占58例(24%),中度者狭窄占61例(49.2%),重度及极重度者狭窄占27例(79.4%),且评分重者斑块多发。结论:颈动脉粥样斑块形成与脑梗死密切相关,且病变血管与梗死部位存在相关性,病变严重性与脑血管病严重性亦明显相关。

Objective：To investigate the ischemic stroke site and severity of carotid ultrasonography position shown,and the seriousness of the existence of significant correlation.Methods：We retrospectively collected 400 cases of patients with acute ischemic stroke,to exclude cardioembolic stroke,use scales of the United Ststes National Institutes of Stroke Scale（NIHSS） score and carotid artery color Doppler ultrasound examination.Results：Cerebral infarction ipsilateral plaque have 204 cases,accounting for 51%,the contralateral plaque have 108 cases,accounting for 27%,the plaques are soft plaque and mixed plaque proportion were higher;NIHSS score mild stenosis are 58 cases（24%）,moderate stenosis are 61 cases（49.2%）,severe and very severe stenosis are 27 cases（79.4%）,and the rated in serious cases are multiple.Conclusion：Carotid artery plaque formation is closely related with cerebral infarction,and vascular lesions,infarct location,lesion severity of cerebrovascular disease severity was significantly related.