超声诊断颈动脉粥样斑块与脑梗死的临床价值

Clinical Value of Ultrasonography in Diagnosis of Carotid Atherosclerotic Plaque and Cerebral Infarction

目的探讨颈动脉粥样斑块与脑梗死实施超声诊断的临床价值。方法将本院神经内科60例脑梗死患者(2018年1月至2019年12月)设为脑梗死组,将同期本院门诊60名健康体检人员设为健康组,对所有人员均进行超声检查,分析总结颈动脉粥样斑块及颈总动脉内膜中膜厚度状况。结果脑梗死组中检出总斑块数102块,健康组检出总斑块数17块。脑梗死组颈动脉粥样斑块检出率显著高于健康组(P<0.05)。脑梗死组患者中颈动脉粥样斑块分布状况与健康组人员对比无明显差异(P>0.05)。脑梗死组患者中硬斑检出率显低于健康组人员,软斑检出率显著高于健康组(P<0.05)。脑梗死组患者中斑块表面形态规则检出率显著低于健康组人员,形态不规则检出率显著高于健康组人员(P<0.05)。脑梗死组患者颈总动脉内膜中膜厚度显著高于健康组(P<0.05)。结论实施超声检查可及时明确颈动脉粥样斑块状况,可辅助脑梗死的疾病早期防治。

Objective To explore the clinical value of ultrasonic diagnosis of carotid atherosclerotic plaque and cerebral infarction.Methods A total of 60 patients with cerebral infarction in the department of neurology of our hospital(from January 2018 to December 2019)were assigned to the cerebral infarction group,and 60 healthy physical examination patients in the outpatient department of our hospital during the same period were assigned to the healthy group.Ultrasound examination was performed on all the patients to analyze and summarize the status of carotid atherosclerotic plaque and intima media thickness of common carotid artery.Results Total plaques were 102 in the cerebral infarction group and 17 in the healthy group.The detection rate of carotid atherosclerotic plaque in cerebral infarction group was significantly higher than that in healthy group(P<0.05).There was no significant difference in the distribution of carotid atherosclerotic plaque between the cerebral infarction group and the healthy group(P>0.05).The detection rate of hard spot in cerebral infarction group was lower than that in healthy group,and the detection rate of soft spot was significantly higher than that in healthy group(P<0.05).The detection rate of plaque surface morphological regularity in patients with cerebral infarction group was significantly lower than that in healthy group,and the detection rate of irregular morphology was significantly higher than that in healthy group(P<0.05).The intima thickness of common carotid artery in cerebral infarction group was significantly higher than that in healthy group(P<0.05).Conclusion Ultrasound examination can timely clarify the status of carotid atherosclerotic plaques and assist the early prevention and treatment of cerebral infarction.