首页|颈动脉超声检查颈动脉斑块易损性对冠状动脉病变程度的评估价值

颈动脉超声检查颈动脉斑块易损性对冠状动脉病变程度的评估价值

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目的:分析颈动脉超声检查颈动脉斑块易损性对冠状动脉(冠脉)病变程度的评估价值.方法:回顾性分析 2020 年 3 月至 2023 年 3 月该院收治的 86 例颈动脉斑块患者的临床资料,均行颈动脉超声检查.统计颈动脉超声检查斑块性质的结果,比较不同颈动脉斑块性质患者冠脉狭窄程度、冠脉病变支数、Gensini评分和急性冠脉综合征发生率.结果:86 例颈动脉斑块患者,颈动脉超声检查结果显示,易损斑块 33 例,占 38.37%(33/86);稳定斑块 53 例,占 61.63%(53/86);易损颈动脉斑块患者冠脉狭窄程度高于稳定颈动脉斑块患者,差异有统计学意义(P<0.05);易损颈动脉斑块患者冠脉病变支数多于稳定颈动脉斑块患者,Gensini评分高于稳定颈动脉斑块患者,差异均有统计学意义(P<0.05);易损颈动脉斑块患者急性冠脉综合征发生率为33.33%(11/33),高于稳定颈动脉斑块患者的7.55%(4/53),差异有统计学意义(P<0.05).结论:颈动脉超声检查颈动脉斑块易损性对评估冠脉病变程度具有一定价值.
Value of ultrasound examination of carotid plaque vulnerability in evaluation of degree of coronary artery disease
Objective:To analyze value of ultrasound examination of carotid plaque vulnerability in evaluation of degree of coronary artery disease.Methods:The clinical data of 86 patients with carotid plaque admitted to this hospital from March 2020 to March 2023 were retrospectively analyzed.Carotid ultrasonography was performed in all patients.The results of carotid ultrasound examination of different carotid plaque properties were statistically analyzed.The degree of coronary stenosis,the number of coronary artery lesions,the Gensini score,and the incidence of acute coronary syndrome in the patients with different carotid plaque properties were compared.Results:For the 86 cases with carotid artery plaque,carotid artery ultrasound examination showed that 33 cases of vulnerable plaques,accounting for 38.37%(33/86);there were 53 cases of stable plaque,accounting for 61.63%(53/86).The degree of coronary stenosis in the patients with vulnerable carotid plaque was higher than that in the patients with stable carotid plaque,and the difference was statistically significant(P<0.05).The number of coronary artery lesions in the patients with vulnerable carotid plaque was more than that in the patients with stable carotid plaque,the Gensini score was higher than that in the patients with stable carotid plaque,and the differences were statistically significant(P<0.05).Further,the incidence of acute coronary syndrome in the patients with vulnerable carotid plaque was 33.33%(11/33),which was higher than 7.55%(4/53)in the patients with stable carotid plaque,and the difference was statistically significant(P<0.05).Conclusions:Ultrasound examination of carotid plaque vulnerability has a certain value in the evaluation the degree of coronary artery disease.

UltrasoundCarotid artery plaqueVulnerabilityCoronary arteryDegree of lesionDiagnosisValue

张雅男、董凌云、姚云燕

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驻马店市第一人民医院超声科,河南 驻马店 463000

超声 颈动脉斑块 易损性 冠状动脉 病变程度 诊断 价值

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(9)
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