颈部血管超声应用于缺血性脑血管病患者的临床价值

Clinical value of neck vascular ultrasonography in patients with ischemic cerebrovascular disease

目的观察颈部血管超声应用于缺血性脑血管病患者的临床价值。方法选取我院神经内科2009-2015年收治的1 500例缺血性脑血管病患者作为本次研究对象,对所有患者均进行颈部血管超声检查,并分析检查结果。结果 1 500例患者中,血管内膜增厚215例,占14.3%;低回声斑块345例,占23.0%;强回声斑块300例,占20.0%;混合回声斑块有640例,占42.7%。回顾性分析1 500例患者的临床资料发现,存在动脉粥样硬化脑梗死500例,存在短暂性脑缺血发作680例,有过脑梗死病史的320例。结论颈部血管超声检查能够准确地反映颈部动脉斑块和血管内膜的详细情况,为诊断和治疗缺血性脑病患者提供重要依据,准确率较高,可为患者的抢救和治疗争取时间,建议临床推广使用。

Objective To observe the clinical value of neck vascular ultrasonography in patients with ischemic cerebrovascular disease. Methods One thousand and five hundred cases of patients with ischemic cerebrovascular disease of the department of neurology in our hospital from 2009 to 2015 were selected as the research objects. All the patients underwent neck vascular ultrasonography, and the test results were analyzed. Results Among 1 500 patients, there were 215 cases of intimal thickening （14.3%）, 345 cases of hypoechoic plaque （23.0%）, 300 cases of echogenic plaques （20.0%）, and 640 cases of hybrid echo plaque （42.7%）. By retrospective analysis of clinical data of 1 500 cases of patients, we found that 500 cases had atherosclerosis cerebral infarction, 680 cases had transient ischemic attack and 320 cases had the history of ischemic stroke. Conclusion Neck vascular ultrasound examination can provide accurate details of carotid artery plaque and intima, which provides an important basis for the diagnosis and treatment of patients with ischemic encephalopathy, with high accuracy rate. It can save time for the rescue and treatment of patients, which is worthy of clinical promotion and application.