白志勇,李敬府,杨玉杰,贾建文,王金锐,张武.缺血性脑血管疾病中颈动脉粥样硬化发生率及其声像图特征[J].中国医学影像技术,2004,20(12):1869~1871
缺血性脑血管疾病中颈动脉粥样硬化发生率及其声像图特征
The incidence and ultrasound characterization of carotid atherosclerosis in ischemic cerebrovascular disease
投稿时间:2004-07-11  
DOI:
中文关键词:  超声检查  颈动脉  动脉粥样硬化  脑血管疾病
英文关键词:Ultrasonography  Carotid artery  Atherosclerosis  Cerebrovascular disease
基金项目:
作者单位
白志勇 北京大学第三医院超声诊断科,北京 100083 
李敬府 北京大学第三医院超声诊断科,北京 100083 
杨玉杰 北京大学第三医院超声诊断科,北京 100083 
贾建文 北京大学第三医院超声诊断科,北京 100083 
王金锐 北京大学第三医院超声诊断科,北京 100083 
张武 北京大学第三医院超声诊断科,北京 100083 
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中文摘要:
      目的 探讨缺血性脑血管疾病颈动脉粥样硬化斑块的超声声像图特征及其意义。方法 对 441例缺血性脑血管疾病患者,采用二维及Doppler超声观察颈总、颈内动脉粥样硬化斑块及其回声特征,并对短暂性脑缺血发作(TIA)、动脉粥样硬化性脑梗死(AI)及腔隙性脑梗死(LI)进行比较。结果 TIA和AI患者颈动脉粥样硬化斑块的发生率分别为66.5%和71.5%,明显高于LI患者;前两者低回声及混合回声斑块的发生率也高于后者。结论 TIA及AI与颈动脉粥样硬化关系密切,颈动脉超声检查有助于预测其发病风险。
英文摘要:
      Objective To evaluate the significance of the carotid atherosclerosis plaque detected and characterized by ultrasound in ischemic cerebrovascular disease. Methods Carotid arteries of 441 patients with ischemic cerebrovascular disease were examined with two-dimensional and Doppler ultrasound. The echogenicity of the atherosclerosis plaque was studied and compared among transient ischemic attack (TIA), atherothrombotic infarction (AI) and lacunar infarction (LI). Results The percents of atherosclerosis plaque in patients with TIA and AI were 66.5% and 71.5% respectively, both higher than that of LI. The percents of hypoechoic and heterogeneous plaques were also high in patients with TIA and AI. Conclusion Carotid atherosclerosis is significantly relative with TIA and AI. Ultrasonography is useful in the risk assessment for TIA and AI.
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