彩超下探讨颈动脉斑块与脑梗死的相关性研究

Study on the Correlation Between Carotid Plaque and Cerebral Infarction by Color Doppler Ultrasound

目的:通过彩超分析颈动脉斑块,探讨其与脑梗死发病的相关性。方法:选择2016年5月-2018年5月邓州市中心医院收治的100例脑梗死患者和100例健康体检者分别作为观察组和对照组,应用彩色多普勒超声诊断仪分别检测和比较两组患者的内中膜厚度(IMT)、斑块类型、斑块形态以及斑块发病部位。结果:与对照组相比,观察组颈动脉内中膜增厚发生率(92%vs31%),内中膜厚度(1.3±0.4mm)vs(0.7±0.3mm),颈动脉粥样硬化斑块形成率显著增高(82%vs22%),斑块类型多为不稳定型软斑,发病部位多为颈总动脉分叉处。结论:颈动脉粥样硬化斑块形成与脑血管疾病密切相关,颈动脉粥样硬化是造成脑梗死的重要致病因素,通过彩超可以明确脑梗死患者颈动脉粥样硬化斑块特征,具有较高的诊断价值,并通过彩超早期筛查,可以早期发现脑梗死危险患者,预防脑梗死的发生。

Objective: Analysis of carotid plaque by color Doppler Ultrasound and its correlation with Cerebral Infarction. Methods: From May2016 to May2018,100 patients with Cerebral Infarction and 100 healthy persons were respectively selected as observation group and control group, Color Doppler Ultrasonography(CDU) was used to detect and compare the IMT, plaque type, plaque morphology and the location of plaque in the two groups. Results: Compared with the control group, the incidence of intimal-medial thickening was higher in the observation group(92%vs31%),IMT(1.3±0.4mm)vs( 0.7±0.3mm),carotid atherosclerotic plaque formation rate was significantly increased, plaque types of multiple unstable soft plaque, most of the site of the common carotid artery bifurcation. Conclusion: Carotid atherosclerotic plaque formation is closely related to cerebrovascular disease, carotid atherosclerosis is an important cause of cerebral infarction cause of cerebral infarction, color ultrasound can identify the characteristics of carotid atherosclerotic of carotid atherosclerotic plaque in patients with cerebral infarction. It has high diagnostic value, and early screening by color Doppler Ultrasound can detect the risk of cerebral infarction early and prevent the occurrence of cerebral infarction.