超声评价放疗对颈动脉溃疡斑块形成的影响

发布时间：2018-05-03 16:41

本文选题：超声检查 + 颈动脉　；参考：《中国医学影像技术》2017年03期

【摘要】：目的探讨超声在评价放疗对颈动脉溃疡斑块形成的影响的价值。方法回顾性收集经病理学证实为头颈部肿瘤、放疗前后的颈动脉超声资料以及其他基线资料完整的患者93例,比较放疗前后放疗侧颈动脉和非放疗侧颈动脉粥样硬化斑块和溃疡斑块的总数量、平均内膜-中膜厚度、最大斑块面积、最大溃疡斑块的面积、最大溃疡口的面积。结果放疗前后颈动脉超声检查的平均间隔时间为(6.1±1.9)年;放疗前放疗侧斑块总数量、平均内膜-中膜厚度、最大斑块面积、溃疡斑块的总数量、最大溃疡斑块的面积、最大溃疡口的面积与非放疗侧比较差异均无统计学意义(P均0.05);放疗后放疗侧斑块总数量、平均内膜-中膜厚度、最大斑块面积、溃疡斑块的总数量、最大溃疡斑块的面积、最大溃疡口的面积均较非放疗侧加重,差异有统计学意义(P均0.05)。结论放疗可导致头颈部肿瘤患者颈动脉粥样硬化斑块的形成和进展,且斑块具有易损性特点。
[Abstract]:Objective to evaluate the value of ultrasound in evaluating the formation of carotid artery ulcer plaque by radiotherapy. Methods a retrospective collection of 93 patients with intact cervical artery ultrasound and other baseline data before and after radiotherapy was collected and compared before and after radiotherapy, and the carotid and non radiotherapy carotid atherosclerotic plaques were compared before and after radiotherapy. The total number of ulcerated plaques, the average thickness of the intima membrane, the area of the largest plaque, the area of the largest ulcer plaque, the area of the maximum ulceration. The average interval time of the carotid ultrasonography before and after radiotherapy was (6.1 + 1.9) years; the total number of plaques, the average intima media thickness, the area of the largest plaque, the area of the largest plaque before radiotherapy, and the ulcer plaque before and after radiotherapy. The total number, the area of the largest ulcer plaque, the area of the maximum ulceration and the non radiotherapy side were not statistically significant (P 0.05); the total number of plaque, the average intima media thickness, the area of the maximum plaque, the total number of ulcerative plaque, the area of the largest ulcer plaque and the area of the largest ulceration were not added to the radiotherapy side after radiotherapy. The difference was statistically significant (P 0.05). Conclusion radiotherapy can lead to the formation and progression of carotid atherosclerotic plaques in patients with head and neck tumors, and the plaque has the characteristics of vulnerability.

【作者单位】：郑州大学附属南阳医院南阳市中心医院超声诊断科;郑州大学附属南阳医院南阳市中心医院脑卒中超声筛查室;湖北文理学院附属医院襄阳市中心医院医学影像科;
【分类号】：R543.4;R445.1

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