经颅多普勒超声与颈部血管超声诊断120例脑梗死患者的结果分析

Analysis of 120 cases of cerebral infarction by transcranial Doppler ultrasound (TCD) and the neck vascular ultrasound (CUS)

目的探讨联合应用经颅多普勒超声(TCD)和颈部血管超声(CUS)对脑梗死的诊断效果。方法 120例脑梗死患者根据年龄将患者划分为非老年组(<60岁)42例和老年组(≥60岁)78例,两组患者均行TCD和CUS诊断。结果 TCD诊断发现,非老年组患者颈内动脉颅外段狭窄和脑动脉硬化发病率低于老年组,比较差异具有统计学意义(P<0.05),两组颅内血管狭窄比例差异无统计学意义(P>0.05);CUS诊断发现,非老年组患者颅内前循环狭窄发病率高于老年组患者,颈部血管狭窄和斑块形成发生率低于老年组,比较差异具有统计学意义(P<0.05)。结论 TCD和CUS在临床诊断脑梗死具有较好效果,联合应用可了解患者病变血管的血液动力学情况及斑块形成情况,从而综合判断梗死的诱因,为有效施治提供依据。

Objective To investigate the combined detection of cerebral infarction by transcranial Doppler ultrasound（TCD） and neck vascular ultrasound（CUS）.Methods 120 patients with cerebral infarction non-elderly group,the patients were divided according to age（＆lt;60 years） 42 and older group（≥60 years） and 78 cases of the two groups of patients underwent TCD and CUS detection.Results TCD detection found that the non-elderly group of patients with internal carotid artery stenosis and cerebral arteriosclerosis incidence was significantly lower than the older group,the data were statistically significant differences（P＆lt;0.05） compared with two sets of intracranial vascular stenosis proportion was no significant difference（P＆gt;0.05）;CUS detected in non-elderly group of patients with intracranial artery stenosis incidence was significantly higher than that elderly patients with the neck vascular stenosis and plaque formation was significantly lower than the older group,the data were statistically significant differences（P＆lt;0.05）.Conclusion TCD and CUS with good results,the clinical detection of cerebral infarction.Joint application can understand the patients hemodynamic vascular lesions and plaque formation,which the comprehensive judgment infarction induced factors provide the basis for effective differentiation.