彩色多普勒超声对老年脑梗死患者颈部动脉斑块的诊断价值分析(1)
【摘要】 目的 研究彩色多普勒超声对老年脑梗死患者颈部动脉斑块的诊断价值。方法 选取50例老年脑梗死患者作为观察组， 选取同期50例老年健康体检者作为对照组， 两组均接受彩色多普勒超声检查， 对其诊断结果进行对比。结果 观察组共检出49例(108块)斑块， 斑块的检出率为98%(49/50)；其中溃疡斑35例， 硬斑15例， 软斑55例， 扁平斑3例；对照组患者共检出10例(60块)斑块， 斑块的检出率为20%(10/50)；其中溃疡斑10例， 硬斑30例， 软斑2例， 扁平斑18例。观察组的斑块检出率显著高于对照组(P<0.05)。溃疡斑以及软斑为观察组的主要形态， 硬斑与扁平斑为对照组的主要形态；颈总动脉分叉处为斑块发生的主要部位， 其次为颈总动脉起始部。观察组左侧颈总动脉内中膜厚度为(1.06±0.22)mm， 右侧颈总动脉内中膜厚度为(1.05±0.25)mm， 显著大于对照组的(0.75±0.14)、(0.74±0.12)mm， 差异有统计学意义(P<0.05)。结论 彩色多普勒超声对老年脑梗死患者颈部动脉斑块的诊断价值显著， 具有良好的推广价值。
【关键词】 彩色多普勒超声；老年脑梗死；颈部动脉斑块
DOI：10.14163/j.cnki.11-5547/r.2016.36.011
【Abstract】 Objective To research diagnostic value by color Doppler ultrasound for carotid plaque in senile cerebral infarction patients. Methods There were 50 senile cerebral infarction patients as observation group and another healthy senile people at the same period as control group. Both groups received color Doppler ultrasound for examination， and their diagnosis outcomes were compared. Results There were totally 49 cases with detected plaque (108 plaque) in the observation group， with plaque detection rate as 98% (49/50). Among them， there were 35 cases with ulcer plaque， 15 cases with hard plaque， 55 cases with soft plaque and 3 cases with flat plaque. There were totally 10 cases with detected plaque (60 plaque) in the control group， with plaque detection rate as 20% (10/50). Among them， there were 10 cases with ulcer plaque， 30 cases with hard plaque， 2 cases with soft plaque and 18 cases with flat plaque. The observation group had obviously higher plaque detection rate than the control group (P<0.05). Ulcer plaque and soft plaque was the main types in the observation group， while hard plaque and flat plaque were the main types in the control group. Common carotid bifureation was the main occurrence site of plaque， followed by initiative common carotid artery. The observation group had left common carotid artery intima-media thickness as (1.06±0.22) mm and right common carotid artery intima-media thickness as (1.05±0.25) mm， which were all larger than (0.75±0.14) and (0.74±0.12) mm in the control group， and the difference had statistical significance (P<0.05). Conclusion Color Doppler ultrasound provides remarkably diagnostic value for carotid plaque in senile cerebral infarction patients and it cotains excellent promotional value.
【Key words】 Color Doppler ultrasound； Senile cerebral infarction； Carotid plaque
隨着社会老龄化的不断发展， 老年脑梗死的发病率也呈现出显著上升的趋势。脑梗死的一个高危因素为颈动脉粥样硬化， 在早期主要表现为颈部动脉斑块[1]。一般而言， 颈动脉粥样硬化斑块中的新生血管结构较为脆弱， 很容易出现破裂的现象， 进而引发破溃以及出血的现象， 是导致脑梗死患者死亡的一个重要原因[2]。研究显示， 采用彩色多普勒超声诊断仪对老年脑梗死患者进行诊断， 能够对其动脉血管的内部结构进行直接观察， 并且准确的找出颈部动脉硬化斑块的形态以及部位， 是现阶段一种有效的诊断方式[3]。本研究主要探讨彩色多普勒超声对老年脑梗死患者颈部动脉斑块的诊断价值， 总结如下。, 百拇医药(陈玲 张正雨)
【关键词】 彩色多普勒超声；老年脑梗死；颈部动脉斑块
DOI：10.14163/j.cnki.11-5547/r.2016.36.011
【Abstract】 Objective To research diagnostic value by color Doppler ultrasound for carotid plaque in senile cerebral infarction patients. Methods There were 50 senile cerebral infarction patients as observation group and another healthy senile people at the same period as control group. Both groups received color Doppler ultrasound for examination， and their diagnosis outcomes were compared. Results There were totally 49 cases with detected plaque (108 plaque) in the observation group， with plaque detection rate as 98% (49/50). Among them， there were 35 cases with ulcer plaque， 15 cases with hard plaque， 55 cases with soft plaque and 3 cases with flat plaque. There were totally 10 cases with detected plaque (60 plaque) in the control group， with plaque detection rate as 20% (10/50). Among them， there were 10 cases with ulcer plaque， 30 cases with hard plaque， 2 cases with soft plaque and 18 cases with flat plaque. The observation group had obviously higher plaque detection rate than the control group (P<0.05). Ulcer plaque and soft plaque was the main types in the observation group， while hard plaque and flat plaque were the main types in the control group. Common carotid bifureation was the main occurrence site of plaque， followed by initiative common carotid artery. The observation group had left common carotid artery intima-media thickness as (1.06±0.22) mm and right common carotid artery intima-media thickness as (1.05±0.25) mm， which were all larger than (0.75±0.14) and (0.74±0.12) mm in the control group， and the difference had statistical significance (P<0.05). Conclusion Color Doppler ultrasound provides remarkably diagnostic value for carotid plaque in senile cerebral infarction patients and it cotains excellent promotional value.
【Key words】 Color Doppler ultrasound； Senile cerebral infarction； Carotid plaque
隨着社会老龄化的不断发展， 老年脑梗死的发病率也呈现出显著上升的趋势。脑梗死的一个高危因素为颈动脉粥样硬化， 在早期主要表现为颈部动脉斑块[1]。一般而言， 颈动脉粥样硬化斑块中的新生血管结构较为脆弱， 很容易出现破裂的现象， 进而引发破溃以及出血的现象， 是导致脑梗死患者死亡的一个重要原因[2]。研究显示， 采用彩色多普勒超声诊断仪对老年脑梗死患者进行诊断， 能够对其动脉血管的内部结构进行直接观察， 并且准确的找出颈部动脉硬化斑块的形态以及部位， 是现阶段一种有效的诊断方式[3]。本研究主要探讨彩色多普勒超声对老年脑梗死患者颈部动脉斑块的诊断价值， 总结如下。, 百拇医药(陈玲 张正雨)