老年颈内动脉血管内膜粥样硬化超声诊断分析

The Ultrasonic Diagnosis Analysis of Internal Carotid Artery lntima Atherosclerosis in the Elderly

目的探讨颈内动脉粥样硬化的超声诊断价值。方法收集我院2013-2017年进行颈动脉超声检查并诊断为颈内动脉粥样硬化的老年患者167例，回顾性分析其超声检查资料。结果颈内动脉共计208处挟窄，包括轻度狭窄51处（24．52％）、中度狭窄101处（48．56％）、重度狭窄35处（16．83％）、闭塞21处（10．10％）。血管内膜增厚共计295处，包括：Ⅰ型增厚114处（38．64％）、Ⅱ型增厚101处（34．24％）、Ⅲ型增厚80处（27．12％）。斑块共计320处，包括：硬斑块144处（45．00％）、软斑块93处（29．06％）、混合斑块83处（25．94％）。结论超声诊断颈内动脉粥样硬1h具有较好的应用价值，可作为常规筛查手段推广应用。

Objective To discuss the diagnostic value of ultrasonic in Internal carotid artery intima atherosclerosis. Methods A total of 167 old patients with internal carotid artery intima atherosclerosis diagnosed by ultrasound were collected in our hospital from 2013 to 2017 , and their ultrasound examination data were analyzed retrospectively. Results There were 208 stenosis in carotid artery, including 51 mild stenosis （24.52%）, 101 moderate stenosis （48.56%）, 35 severe stenosis （16.83%）, and 21 occlusions （10.10%）. There were 295 intima thickenings, including 114 Type Ⅰ thickenings （38.64%）, 101 Type Ⅱ thickenings （34.24%）, and 80 Type Ⅲthickenings （27.12%）. There were 320 plaques, including 144 hard plaques （45.00%）, 93 soft plaques （29.06%）, and 93 mixed plaques （29.06%）. Conclusion The ultrasound has good diagnostic value in carotid artery intima atherosclerosis., which could be applied extensively as routine screening.