缺血性脑血管病患者颈动脉粥样硬化斑块表面形态的临床研究

发布时间：2018-05-13 09:47

本文选题：颈部血管超声 + 缺血性脑血管疾病　；参考：《中国实用神经疾病杂志》2016年08期

【摘要】：目的探讨颈部血管超声检查用于了解缺血性脑血管病患者颈动脉粥样硬化斑块表面形态,分析相应形态的影响因素。方法以2014-01—2015-02在我院住院治疗的105例缺血性脑血管病患者为研究对象,均通过彩超检测,以掌握患者颈动脉粥样硬化斑块表面形态,了解不同形态危险因素和超声声像的关系。结果本组不规则型46例,光滑型37例,溃疡型22例;通过危险因素回归分析表明,高血压、高脂血症及糖尿病和溃疡型斑块相关;高脂血症和光滑型斑块、不规则型斑块均相关。结论表面形态差异斑块形成的危险因素是存在差别的,因此临床治疗上应根据斑块表面形态,给予针对性的干预,以提高临床治疗的有效性,颈部血管超声检查有一定临床应用价值。
[Abstract]:Objective to investigate the surface morphology of carotid atherosclerotic plaques in patients with ischemic cerebrovascular disease by ultrasonography. Methods 105 patients with ischemic cerebrovascular disease who were hospitalized in our hospital from 2014-01-2015-02 were studied by color Doppler ultrasonography in order to understand the surface morphology of carotid atherosclerotic plaques and to understand the relationship between different morphological risk factors and ultrasound images. Results there were 46 cases of irregular type, 37 cases of smooth type and 22 cases of ulcer type. The risk factor regression analysis showed that hypertension, hyperlipidemia and diabetes mellitus were associated with ulcer plaque, hyperlipidemia and smooth plaque, Irregular plaques were all correlated. Conclusion there are differences in the risk factors of plaque formation in different surface morphology. Therefore, according to the surface morphology of plaque, we should give targeted intervention in order to improve the effectiveness of clinical treatment. Ultrasound examination of cervical blood vessel has certain clinical application value.
【作者单位】：郑州大学第二附属医院超声科;
【分类号】：R743.33

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