颈动脉超声评价短暂性脑缺血发作与颈动脉粥样硬化关系的价值

发布时间：2018-04-13 05:38

本文选题：颈动脉超声 + 短暂性脑缺血发作　；参考：《宁夏医科大学学报》2016年09期

【摘要】：目的探讨颈动脉超声对短暂性脑缺血发作与颈动脉粥样硬化(CAS)间关系的评定价值。方法选取2015年4月-2016年4月确诊为短暂性脑缺血发作(TIA)患者70例为研究组,选取体检非心脑血管疾病者70例为对照组,颈动脉超声诊断仪检查颈总动脉(CCA)、颈内动脉(ICA)、颈外动脉(ECA),观察两组颈动脉斑块情况,测量颈动脉内-中膜厚度(IMT)和计算斑块总积分,观察CCA、ICA、ECA斑块好发部位。结果研究组颈动脉正常、斑块形成率和内膜增厚检出率与对照组相比差异有统计学意义(χ2=35.682,P=0.000);研究组颈动脉IMT及斑块总积分高于对照组(P0.05);颈动脉斑块好发部位依次为CCA(36例,51.4%)、ICA(15例,21.4%)、ECA(10例,14.3%)。结论颈动脉超声检查具有无创、准确、简便、重复性好等特点,可早期发现CAS病变,并及时进行有效预防,对降低TIA及缺血性脑卒中的发病率有重要意义。
[Abstract]:Objective to evaluate the relationship between transient ischemic attack (TIA) and carotid atherosclerosis (CAS) by carotid ultrasound.Methods from April 2015 to April 2016, 70 patients with TIA were selected as study group and 70 patients with non-cardio-cerebrovascular diseases as control group.The common carotid artery (CCAA), the internal carotid artery (ICA) and the external carotid artery (ECAA) were examined by carotid ultrasonography. The carotid plaques were observed, the carotid intima-media thickness (IMT) was measured and the total plaque score was calculated.Results the carotid artery in the study group was normal, the plaque formation rate and the detection rate of intimal thickening were significantly higher than those in the control group (蠂 ~ 2 ~ 2 ~ (35.682) P ~ (0. 000)), the carotid IMT and the total plaque score in the study group were higher than those in the control group (P < 0. 05), and the most common sites of carotid plaque were CCA(36 (n = 51.4) and CCA(36 (n = 15, 21. 4ECAA, n = 10).Conclusion carotid ultrasound is noninvasive, accurate, simple and reproducible. It can detect CAS early and prevent it in time. It is of great significance to reduce the incidence of TIA and ischemic stroke.
【作者单位】：河北北方学院附属第二医院功能科;河北省张家口市宣化县人民医院;
【分类号】：R743.31;R445.1

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