本文關(guān)鍵詞： 超聲 頸動脈硬化斑塊 易損性 卒中風險等級 冠心病　出處：《中國超聲醫(yī)學雜志》2017年05期 　論文類型：期刊論文

【摘要】：目的超聲評估頸動脈斑塊卒中風險等級與冠狀動脈病變嚴重程度關(guān)系,探討頸動脈斑塊易損性預測冠狀動脈病變臨床價值。方法選取117例冠心病患者行頸動脈超聲檢查,按照斑塊性質(zhì)分為易損斑塊組與穩(wěn)定斑塊組,按照管腔狹窄程度分為輕度狹窄組與中度以上狹窄組,分別比較兩組患者冠狀動脈狹窄嚴重程度的Gensini評分差異度。評價每位患者頸動脈斑塊卒中風險等級,比較不同風險等級組冠狀動脈狹窄嚴重程度的Gensini評分差異度。結(jié)果頸動脈易損斑塊組Gensini評分明顯高于頸動脈穩(wěn)定斑塊組。頸動脈管腔輕度狹窄組(30%)與中度以上狹窄組(≥30%)的Gensini評分差異無統(tǒng)計學意義。頸動脈斑塊高、極高度風險等級組冠脈Gensini積分明顯高于低、中度風險組,有統(tǒng)計學意義。結(jié)論頸動脈斑塊性質(zhì)及斑塊發(fā)生缺血性腦卒中風險等級在一定程度上能夠推測冠狀動脈硬化狹窄嚴重程度。
[Abstract]:Objective to evaluate the relationship between the severity of coronary artery disease and the risk of carotid plaque stroke by ultrasound. Methods 117 patients with coronary artery disease were selected for carotid ultrasound examination and divided into vulnerable plaque group and stable plaque group according to the nature of plaque. According to the degree of lumen stenosis, the patients were divided into mild stenosis group and moderate stenosis group. The Gensini score differences of coronary artery stenosis severity were compared between the two groups, and the risk level of carotid plaque stroke was evaluated in each patient. Results the Gensini score of carotid vulnerable plaque group was significantly higher than that of carotid artery stable plaque group. Mild stenosis group (. There was no significant difference in Gensini score between the group with moderate stenosis (鈮，

本文編號：1479623