CAJ | 학술논문

目的探析彩超检测颈总动脉粥样硬化斑块和脑梗死的相关性.方法本研究选取我院2011年 6月至2012年12月收治的经CT、MRI等影像学检查证实脑梗死患者80例为研究对象,同时选择我院同期收治的80例年龄大于50岁且无明显心脑血管病表现者为对照组.两组均行彩超检查,对比分析两组患者彩超检查的结果.结果观察组80例患者中彩超检查显示颈总动脉存在不同程度粥样硬化斑块63例,检出率为78.75％；对照组80例患者彩超检查显示颈总动脉存在不同程度粥样硬化斑块仅10例,检出率为12.50％；两组颈总动脉粥样硬化斑块彩超检出率比较差异有统计学意义(P＜ 0.05).观察组主要以软斑和溃疡斑为主,扁平斑和硬斑相对较少,和对照组比较差异有统计学意义(P＜0.05).结论颈总动脉粥样硬化斑块和脑梗死的发生具有密切的相关性,临床采用彩超检查有助于早期发现颈总动脉粥样硬化斑块,有利于临床早期诊断和治疗,减少脑梗死的发生率,具有极高的临床应用价值.
목적 탐석채초검측경총동맥죽양경화반괴화뇌경사적상관성.방법 본연구선취아원2011년 6월지2012년12월수치적경CT、MRI등영상학검사증실뇌경사환자80례위연구대상,동시선택아원동기수치적80례년령대우50세차무명현심뇌혈관병표현자위대조조.량조균행채초검사,대비분석량조환자채초검사적결과.결과 관찰조80례환자중채초검사현시경총동맥존재불동정도죽양경화반괴63례,검출솔위78.75％；대조조80례환자채초검사현시경총동맥존재불동정도죽양경화반괴부10례,검출솔위12.50％；량조경총동맥죽양경화반괴채초검출솔비교차이유통계학의의(P＜ 0.05).관찰조주요이연반화궤양반위주,편평반화경반상대교소,화대조조비교차이유통계학의의(P＜0.05).결론 경총동맥죽양경화반괴화뇌경사적발생구유밀절적상관성,림상채용채초검사유조우조기발현경총동맥죽양경화반괴,유리우림상조기진단화치료,감소뇌경사적발생솔,구유겁고적림상응용개치.
Objective To explore the correlation between ultrasound detection of carotid atherosclerotic plaques and cerebral infarction.Methods 80 patients admitted by our hospital from June 2011 to December 2012 who were confirmed to have cerebral infarction were treated as subjects in the research group,ultrasound examination,and 80 patients over 50 years old without cerebrovascular diseases admitted during the same period were selected in the control group,patients in two groups were subjected to color ultrasound examination,ultrasound examination from patients of two groups were compared and analyzed,and the comparison of the total detectable rate of atherosclerotic plaque.Results The ultrasound examination on 80 patients in the observation group showed carotid arteries of 63 patients were found to have different atherosclerotic plaques with detectable rate at 78.75％,but only 10 cases were found to have atherosclerotic plaques in 80 patients with detectable rate at 12.5％,and the comparison difference in the detectable rate of color ultrasound of total atherosclerotic plaque in two groups of patients were found to be statistically significant (P ＜ 0.05).The soft plaque and purple plaque were typically found in the observation group,while the flat plaque and hard plaque were found to be relatively less,and the difference was statistically significant when it was compared to that in the control group.Conclusion The carotid atherosclerotic plaques is closely correlated to the occurrence of cerebral infarction,the use of ultrasound examination helps to early detection of carotid atherosclerotic plaques and early diagnosis and treatment,with great clinical value.