CAJ | 학술논문

目的：研究颈总动脉、脑动脉、冠状动脉粥样硬化的相关性。方法收集2008年1月至2012年12月确诊为动脉粥样硬化的75例患者作为研究对象，根据患者冠状动脉造影检查结果中冠状动脉狭窄支数将其分为单支病变组、双支病变组和三支及以上病变组，每组各25例。记录三组患者颈总动脉、脑动脉、冠状动脉影像学诊断结果，分析颈动脉粥样硬化程度与脑动脉、冠状动脉血管病变支数之间的关系。结果脑动脉造影结果显示，75例患者中脑动脉粥样硬化病变41例（54.67%）。冠状动脉造影结果显示，75例患者中冠状动脉粥样硬化病变38例（50.67%）。脑动脉、冠状动脉与颈总动脉超声结合造影检查结果显示，三组患者颈总动脉内膜中层厚度（IMT）、斑块发生率组间比较差异均有显著性（P＜0.05)。结论颈总动脉与脑动脉、冠状动脉粥样硬化病变密切相关。颈总动脉超声检查可结合脑动脉、冠状动脉造影结果，评估动脉病变风险，指导临床治疗。
목적：연구경총동맥、뇌동맥、관상동맥죽양경화적상관성。방법수집2008년1월지2012년12월학진위동맥죽양경화적75례환자작위연구대상，근거환자관상동맥조영검사결과중관상동맥협착지수장기분위단지병변조、쌍지병변조화삼지급이상병변조，매조각25례。기록삼조환자경총동맥、뇌동맥、관상동맥영상학진단결과，분석경동맥죽양경화정도여뇌동맥、관상동맥혈관병변지수지간적관계。결과뇌동맥조영결과현시，75례환자중뇌동맥죽양경화병변41례（54.67%）。관상동맥조영결과현시，75례환자중관상동맥죽양경화병변38례（50.67%）。뇌동맥、관상동맥여경총동맥초성결합조영검사결과현시，삼조환자경총동맥내막중층후도（IMT）、반괴발생솔조간비교차이균유현저성（P＜0.05)。결론경총동맥여뇌동맥、관상동맥죽양경화병변밀절상관。경총동맥초성검사가결합뇌동맥、관상동맥조영결과，평고동맥병변풍험，지도림상치료。
Objective To study the correlation of evaluation of carotid ultrasound and brain, coronary angiography combined with atherosclerosis. Method 75 cases in our hospital during the period of line of carotid artery ultrasound diagnosis of atherosclerosis cerebral arteries and coronary angiography from January 2008 to December 2012 were chose as subjects, according to the results of coronary angiography in patients with coronary artery stenosis in check cerebral artery, coronary artery were divided into single lesion group, the double branch lesion group and three or more lesion group, 25 cases in each group, the common carotid artery ultrasound results and cerebral arteries and coronary artery imaging diagnosis were recorded, the relationship between the coronary arterial lesion counts of the degree of cervical atherosclerosis and cerebral arteries were analyzed. Result There were 41 cases (54.67%) observed with cerebral artery atherosclerotic lesions and 38 cases (50.67%) observed with coronary artery lesions. Artery, coronary angiography and carotid ultrasound examination results were combined. There were no significant difference between three groups of patients carotid intima-media thickness (IMT), the incidence of plaque (P < 0.05). Conclusion Carotid artery and cerebral artery, coronary atherosclerosis are closely related. Carotid artery ultrasound can be combined with cerebral artery, coronary angiography as a result for the risk assessment of arterial pathological changes, guide clinical treatment.