首页|彩色多普勒超声在颈动脉粥样硬化斑块相关性脑梗死诊断中的应用价值

彩色多普勒超声在颈动脉粥样硬化斑块相关性脑梗死诊断中的应用价值

The value of colour Doppler ultrasound in the diagnosis of carotid atherosclerotic plaque-related cerebral infarction

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目的 分析彩色多普勒超声在颈动脉粥样硬化斑块诊断中的应用价值.方法 选择2021年9月至2023年6月我院接收的50例脑梗死患者作为本次研究的观察组,再随机选取同期入院接受健康体检的50名作为对照组,对2组均行彩色多普勒超声检查,然后对2组的颈动脉粥样硬化斑块的分布情况及斑块类型、颈动脉狭窄情况、左颈动脉内膜-中层厚度(IMT)、血流参数等进行比较.结果 观察组的斑块检出率为68.0%,高于对照组的34.0%(x2=11.565,P=0.001);2组的斑块分布情况差异无统计学意义(P>0.05);观察组的斑块类型以软斑、混合斑为主,对照组以硬斑为主(x2=27.506,P<0.05);观察组的狭窄率(轻度、中度、重度)高于对照组(P<0.001);对照组的左颈动脉IMT高于观察组[(1.12±0.31)mm与(0.95±0.12)mm,t=3.616,P=0.001],PSV[(69±15)cm/s 与(76±9)cm/s,t=2.516,P=0.012]、EDV[(23.6±2.1)cm/s 与(20.1±6.5)cm/s,t=3.617,P=0.001]、RI(0.65±0.26 与 0.78±0.12,t=3.210,P=0.002),则低于观察组.结论 彩色多普勒超声在颈动脉粥样硬化斑块诊断中具有较高的临床价值.
Objective Analysis of the value of colour Doppler ultrasound in the diagnosis of carotid atherosclerotic plaque-related cerebral infarction.Methods Fifty patients with cerebral infarction admitted to our hospital between September 2021 and June 23 were selected as the observation group of this study,and 50 patients who were admitted to the hospital to undergo health checkups during the same period were randomly selected as the control group.Colour Doppler ultrasonography was carried out on the patients in both groups,and the distribution of carotid atherosclerotic plaques and their types,carotid artery stenosis,left carotid artery intima-media thickness(IMT),blood flow parameters,etc.,were then compared in both groups,and blood flow parameters were compared.Results The plaque detection rate in the observation group was 68.0%,which was higher than 34.0%that in the control group(P<0.05).And there was no significant difference in the distribution of plaques between the two groups(P>0.05).The plaque types in the observation group were dominated by soft plaques and mixed plaques,whereas hard plaques predominated in the control group(x2=27.506,P<0.05).The stenosis rate in the observation group was higher than that of the control group(P<0.001).And the left carotid intima-media-medial thickness(IMT)of the control group was higher than that of the observation group[(1.12±0.31)mm vs.(0.95±0.12)mm,t=3.616,P=0.001],while peak flow velocity(PSV)[(69.3±15.3)cm/s vs.(75.8±9.2)cm/s,t=2.516,P=0.012],end-diastolic flow velocity(EDV)[(23.6±2.1)cm/s vs.(20.1±6.5)cm/s,t=3.617,P=0.001]and resistance index(RI)(0.65±0.26 vs.0.78±0.12,t=3.210,P=0.002)were lower than those of the observation group.Conclusion Colour Doppler ultrasound has high clinical value in the diagnosis of carotid atherosclerotic plaque-associated cerebral infarction.

Ultrasound,doppler,colorCarotidAtherosclerotic plaqueCerebral infarctionBlood flow parameters

武晓燕、朱雅兰

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洛阳伊洛医院超声科,洛阳 471000

超声,多普勒,彩色 颈动脉 粥样硬化斑块 脑梗死 血流参数

2024

实用医技杂志
山西医药卫生传媒集团有限责任公司

实用医技杂志

影响因子:0.534
ISSN:1671-5098
年,卷(期):2024.31(3)
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