150例心脑血管病患者的颈动脉超声分析

Ultrasonic Analyses of Carotid Arteries of 150 Cases of Cerebrovascular and/or Cardiovascular Diseases

目的 探讨彩色多普勒超声检测心脑血管病患者颈动脉粥样硬化的临床意义。方法 对临床确诊的15 0例心脑血管患者的颈动脉超声检查资料进行回顾性分析。结果 15 0例患者颈动脉粥样硬化发生率 78%。其中高血压病及冠心病患者的颈动脉粥样硬化率分别为 63 .6%、70 .9%;粥样硬化多发生在分叉部 ,占 5 5 %。结论 颈动脉超声检查能评价心脑血管病患者的动脉病变程度 ,安全、无创、诊断正确率高 ,值得临床推广。

Objective To assess clinical value of color Doppler flow imaging in the assessment of carotid atheroscleroses in patients with cerebrovascular and/or cardiovascular diseases.Methods Retrospectively carotid ultrasonic data was reviewed in 150 patients with cerebrovascular and/or cardiovascular diseases.Results Morbidity of carotid atherosclerosis is 78% in all patients,or the patients with hypertension,coronary heart disease is 63.6%,70.9%,respectively. 55% Atherosclerosis of carotid arteries occurred at bifurcations of major carotid.Conclusion We concluded that ultrasonography of carotid arteries should be highly appreciated in diagnosing cerebrovascular and cardiovascular diseases.Furthermore,ultrasonography is highly reliable non-invasive method in detecting carbtid atheroscleroses.