| 刘莉,宋秀珍,成小松.老年高血压病颈动脉血管改变及并发症的超声研究[J].中国医学影像技术,2008,24(7):1066~1068 |
| 老年高血压病颈动脉血管改变及并发症的超声研究 |
| Research of carotid changes and complication of senile hypertension by ultrasound |
| 投稿时间：2008-02-19 修订日期：2008-05-13 |
| DOI： |
| 中文关键词: 超声检查,多普勒,彩色 颈动脉斑块 |
| 英文关键词:Ultrasonography, Doppler, color Carotid artery plaque |
| 基金项目:黑龙江省教育厅科研立项资助项目(A2000625)。 |
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| 中文摘要: |
| 目的 探讨颈动脉的彩色多普勒超声在老年高血压病并发症早期诊断与防治中的应用价值。 方法 对74例老年高血压病患者和54例老年非高血压病患者的颈动脉斑块及血流动力学的超声图像特征进行回顾性总结,分析其颈动脉超声改变与老年高血压病主要并发症之间的关系。 结果 高血压病组颈动脉斑块检出率明显高于非高血压病组,存在高度显著性差异;其中多支血管病变(即两条以上)检出率高血压病组亦高于非高血压病组。高血压病组具有两组以上心、脑血管并发症者显著高于非高血压病组;在合并高脂血症及高纤维蛋白血症方面,高血压病组发生率亦明显增高。 结论 颈动脉彩色多普勒超声可以较准确地定性评价颈动脉血管壁及管径的变化;对预测心、脑血管并发症及其在预后评估等方面为临床提供可靠依据。 |
| 英文摘要: |
| Ojective To study the application value of carotid color Doppler technique in early diagnosis as well as prevention and treatment of senile hypertensive complication. Methods Carotid arteries were examined with color Doppler ultrasonography in 74 cases of senile hypertension and 54 cases of normotensive people, then the sonographic characteristics of carotid plaque and haemodynamics were retrospectively summarized, the correlation between ultrasonic changes of carotid artery and the main complications of senile hypertension were analysised. Results The incidence rate of plaque found in hypertensive group was significantly higher than that of the controls, significant difference was present. Among the total cases, the incidence rate of multivessel disease (lesions involving two more vessels) found in hypertensive group was also higher than that in control group. Cerebrovascular complications were found more frequently in hypertensive group than in control group. The incidence rate of complicating hyperlipemia and hyper-hemaleucin of hypertensive group was also significantly higher than that of the controls. Conclusion Color Doppler ultrasound could accurately evaluate the changes of carotid vessel wall and lumen, and could provide reliable evidence to predict the cerebrovascular complications and evaluating prognosis. |
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