彩超诊断脑梗死患者颈动脉粥样硬化斑块的临床价值

The clinical value of color Doppler ultrasound in diagnosing carotid atherosclerotic plaque in patients with cerebral infarction

目的:分析彩超诊断脑梗死患者颈动脉粥样硬化斑块的临床价值。方法:随机选取64例脑梗死患者作为观察组,另选取同期健康体检人员64例作为常规组。采用彩色多普勒超声检查,对比两组检查结果。结果:与常规组相比,观察组颈动脉粥样硬化斑块的检出率、左/右颈动脉内-中膜厚度更高(P<0.05);相较于常规组,观察组患者颈动脉收缩期峰值流速、舒张期最低血流速度更低(P<0.05),阻力指数更高(P<0.05)。结论:脑梗死患者采用彩超诊断颈动脉粥样硬化斑块的检出率较高,利于临床疾病筛查,值得推广。

Objective To analyze the clinical value of color ultrasound in the diagnosis of carotid atherosclerotic plaque in patients with cerebral infarction.Methods 64 patients with cerebral infarction were selected as the observation group,and 64 healthy physical examination personnel were selected as the routine group.Color Doppler ultrasound was used to compare the results of the two groups.Results Compared with the conventional group,the detection rate of carotid atherosclerotic plaque and the left/right intracarotid intima-media thickness were higher in the observation group(P<0.05).Compared with the conventional group,the patients in the observation group had lower peak systolic velocity,lower diastolic minimum flow velocity(P<0.05),and higher resistance index(P<0.05).Conclusions The detection rate of carotid atherosclerotic plaque in patients with cerebral infarction is higher by using color Doppler ultrasound,which is beneficial to clinical disease screening and worthy of promotion.