超聲檢測(cè)腦梗死患者頸動(dòng)脈的臨床意義(1)
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[摘要] 目的：應(yīng)用彩色多普勒超聲技術(shù)檢測(cè)腦梗死患者頸動(dòng)脈血管，研究頸動(dòng)脈粥樣硬化病變特點(diǎn)和血流動(dòng)力學(xué)變化，探討頸動(dòng)脈超聲檢測(cè)對(duì)腦梗死患者病情監(jiān)測(cè)的臨床意義。方法：對(duì)觀察組200例患者和對(duì)照組120例同期住院的非腦梗死患者進(jìn)行頸動(dòng)脈彩色多普勒超聲檢查，檢測(cè)雙側(cè)頸總動(dòng)脈、頸內(nèi)動(dòng)脈內(nèi)膜中層厚度(IMT)、斑塊情況和相關(guān)血流參數(shù)。結(jié)果：觀察組CA率為65.50%，以軟斑和復(fù)合斑為主；對(duì)照組CA率為36.67%，以硬斑和扁平斑為主。觀察組左右側(cè)CCA的IMT均明顯大于對(duì)照組；觀察組雙側(cè)SPV、EDV均低于對(duì)照組，兩組S/D、RI相比，觀察組高于對(duì)照組，但無(wú)顯著差異。結(jié)論：頸動(dòng)脈病變與腦梗死的發(fā)病有著密切的關(guān)系，多普勒超聲用于頸動(dòng)脈粥樣硬化檢測(cè)可及早、盡快地發(fā)現(xiàn)斑塊并確定其性質(zhì)，為臨床干預(yù)治療提供依據(jù)并做出預(yù)報(bào)，有著重要的臨床應(yīng)用意義。
[關(guān)鍵詞] 彩色多普勒超聲；腦梗死；頸動(dòng)脈；斑塊；血流；頸內(nèi)動(dòng)脈內(nèi)膜中層厚度
[中圖分類號(hào)] R445.1 [文獻(xiàn)標(biāo)識(shí)碼]A[文章編號(hào)]1674-4721(2011)05(c)-009-02
Clinical meaning of carotid artery examination of cerebral infarction patients with ultrasound
LIU Gan, LI Guohong, TAN Buqiao
Function section, Kaiping City Center Hospital, Guangdong Province, Kaiping 529300, China
[Abstract] Objective: To detect carotid artery of cerebral infarction patients with colorful doppler ultrasound, research carotid artery gruel kind harden pathological changes characteristics and blood dynamics variety, study clinical meaning of cerebral infarction sufferer condition monitor with carotid artery ultrasound examination. Methods: Observation set 200 non-cerebral infarction with hospitalized 120 same period to sufferer and matched controls cerebral infarction the sufferer carry on a super voice of colorful doppler ultrasound of carotid artery check, examination double the side neck total artery, film inside the artery inside the neck intermediate thickness (IMT), spot piece the circumstance was with related blood parameter. Results: The observation set CA leads to 65.50% and regards the soft spot and the compound spot as principle; The matched control CA leads to 36.67%, was aller obviously big than a matched control regarding the hard spot and the flat even spot as principle IMT of observation set or so side CCA; Observation set double side SPV and EDV was aller low than a matched control, the two sets of S/Ds and RI compares, and the observation set was higher than a matched control, but hadn't significant differences ......
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