本文選題：超聲檢查 + 頸動脈　； 參考：《中國醫(yī)學(xué)影像技術(shù)》2017年03期

【摘要】：目的探討超聲在評價放療對頸動脈潰瘍斑塊形成的影響的價值。方法回顧性收集經(jīng)病理學(xué)證實為頭頸部腫瘤、放療前后的頸動脈超聲資料以及其他基線資料完整的患者93例,比較放療前后放療側(cè)頸動脈和非放療側(cè)頸動脈粥樣硬化斑塊和潰瘍斑塊的總數(shù)量、平均內(nèi)膜-中膜厚度、最大斑塊面積、最大潰瘍斑塊的面積、最大潰瘍口的面積。結(jié)果放療前后頸動脈超聲檢查的平均間隔時間為(6.1±1.9)年;放療前放療側(cè)斑塊總數(shù)量、平均內(nèi)膜-中膜厚度、最大斑塊面積、潰瘍斑塊的總數(shù)量、最大潰瘍斑塊的面積、最大潰瘍口的面積與非放療側(cè)比較差異均無統(tǒng)計學(xué)意義(P均0.05);放療后放療側(cè)斑塊總數(shù)量、平均內(nèi)膜-中膜厚度、最大斑塊面積、潰瘍斑塊的總數(shù)量、最大潰瘍斑塊的面積、最大潰瘍口的面積均較非放療側(cè)加重,差異有統(tǒng)計學(xué)意義(P均0.05)。結(jié)論放療可導(dǎo)致頭頸部腫瘤患者頸動脈粥樣硬化斑塊的形成和進展,且斑塊具有易損性特點。
[Abstract]:Objective to evaluate the value of ultrasound in evaluating the formation of carotid artery ulcer plaque by radiotherapy. Methods a retrospective collection of 93 patients with intact cervical artery ultrasound and other baseline data before and after radiotherapy was collected and compared before and after radiotherapy, and the carotid and non radiotherapy carotid atherosclerotic plaques were compared before and after radiotherapy. The total number of ulcerated plaques, the average thickness of the intima membrane, the area of the largest plaque, the area of the largest ulcer plaque, the area of the maximum ulceration. The average interval time of the carotid ultrasonography before and after radiotherapy was (6.1 + 1.9) years; the total number of plaques, the average intima media thickness, the area of the largest plaque, the area of the largest plaque before radiotherapy, and the ulcer plaque before and after radiotherapy. The total number, the area of the largest ulcer plaque, the area of the maximum ulceration and the non radiotherapy side were not statistically significant (P 0.05); the total number of plaque, the average intima media thickness, the area of the maximum plaque, the total number of ulcerative plaque, the area of the largest ulcer plaque and the area of the largest ulceration were not added to the radiotherapy side after radiotherapy. The difference was statistically significant (P 0.05). Conclusion radiotherapy can lead to the formation and progression of carotid atherosclerotic plaques in patients with head and neck tumors, and the plaque has the characteristics of vulnerability.

【作者單位】： 鄭州大學(xué)附屬南陽醫(yī)院南陽市中心醫(yī)院超聲診斷科;鄭州大學(xué)附屬南陽醫(yī)院南陽市中心醫(yī)院腦卒中超聲篩查室;湖北文理學(xué)院附屬醫(yī)院襄陽市中心醫(yī)院醫(yī)學(xué)影像科;
【分類號】：R543.4;R445.1

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