颈动脉粥样硬化与冠心病发生的相关性

Correlation between carotid atrery atherosclerosis and coronary heart disease

目的 :探讨颈动脉粥样硬化与冠心病发生的相关性。方法 :应用彩色多普勒超声技术检测了 90例冠心病患者的颈动脉 ,其中 2 0例进行了冠状动脉造影检查。结果 :(1)各组冠心病患者颈动脉管壁内 -中膜厚度 ,斑块指数均显著增高 ,其中心肌梗死患者伴有明显的血流参数异常 ;(2 ) 2 0例患者冠状动脉造影与颈动脉超声检查符合率为 75 % ,而且冠状动脉病变越重 ,颈动脉硬化发生率越高。结论 :颈动脉粥样硬化程度可间接反映冠状动脉病变程度。

Objective:To study the correation between carotid artery atherosclerosis and coronary heart disease(CHD).Methods:Color Doppler flow imaging was employed to evaluate carotid artery atherosclerosis in 90 patients with CHD,carotid artery ultrasonography and coronary angiography were performed simultaneously in 20 cases.Results:The thickness of internus\|middle membrane and the index number of atheroma both increased remarkably in all cases,and the group with MI had obvious abnomal parameter of blood stream in internal carotid artery.The conformed rate of coronary angiography with ultrasonography in carotid is 75% in 20 cases,and the more serious the pathological change of coronary is,the higher the happening rate of carotid artery atherosclerosis is.Conclusion:The degrees of carotid artery atherosclerosis can reflect the degree of pathological changes of coronary indirectly.