超声检测无名动脉及右锁骨下动脉IMT病变在60岁以下成人中的应用价值
The application value of ultrasound detection of the innominate artery and right subclavian artery IMT lesions in adults under 60 years old
李恬 1张娜 1龚亮 1周贵根 1徐敏1
作者信息
摘要
目的:研究超声检测无名动脉分叉部(innominate artery bifurcation,INA Bif)及右锁骨下动脉起始部(right subclavian artery origin,RSCA Ori)内中膜厚度病变在 60岁以下成人中的临床应用价值.方法:随机选取于本院行颈部血管超声检查的体检者 685例,按年龄分为 4组,对他们的颈动脉、椎动脉、RSCA Ori、INA Bif的内中膜厚度(intima-media thickness,IMT)病变情况及各血管管腔血流情况进行检测.结果:INA Bif和RSCA Ori显示欠清 6 例,超声显示满意度 99.12%.单纯性INA Bif或RSCA Ori IMT病变例数远高于单纯性颈动脉IMT病变例数.结论:超声检测INA Bif 及RSCA Ori IMT病变相对于单纯检测颈动脉IMT病变的敏感度大大提高,能更早期提示动脉粥样硬化,指导临床干预,具有重要临床意义.
Abstract
Objective:To investigate the clinical value of ultrasound detection of intima-media thickness(IMT)lesions at the innominate artery bifurcation(INA Bif)and the right subclavian artery origin(RSCA Ori)in adults under 60 years old.Methods:A total of 685 adults under 60 years old who underwent carotid artery ultrasound examination at our hospital were randomly selected and divided into four age groups.The IMT lesions and blood flow conditions of the carotid artery,vertebral artery,RSCA Ori,and INA Bif were examined.Results:The INA Bif and the RSCA Ori were not clearly displayed in 6 cases,resulting in a display satisfactory rate of 99.12%.The number of cases with isolated IMT lesions at the INA Bif or the RSCA Ori was significantly higher than those with isolated carotid artery IMT lesions.Conclusion:Ultrasound detection of IMT lesions at the INA Bif and the RSCA Ori is more sensitive than that of solely detecting IMT lesions in the carotid artery,which can provide early warning of atherosclerosis and guide clinical intervention,thus is of great clinical significance.
关键词
无名动脉分叉部/右锁骨下动脉/内中膜厚度病变/颈动脉超声/动脉粥样硬化Key words
innominate artery bifurcation/right subclavian artery origin/intima-media thickness lesion/carotid artery ultrasound/atherosclerosis引用本文复制引用
出版年
2024
NETL
NSTL
万方数据