缺血性腦血管病患者頸動脈粥樣硬化斑塊表面形態(tài)的臨床研究
發(fā)布時間:2018-05-13 09:47
本文選題:頸部血管超聲 + 缺血性腦血管疾病 ; 參考:《中國實(shí)用神經(jīng)疾病雜志》2016年08期
【摘要】:目的探討頸部血管超聲檢查用于了解缺血性腦血管病患者頸動脈粥樣硬化斑塊表面形態(tài),分析相應(yīng)形態(tài)的影響因素。方法以2014-01—2015-02在我院住院治療的105例缺血性腦血管病患者為研究對象,均通過彩超檢測,以掌握患者頸動脈粥樣硬化斑塊表面形態(tài),了解不同形態(tài)危險因素和超聲聲像的關(guān)系。結(jié)果本組不規(guī)則型46例,光滑型37例,潰瘍型22例;通過危險因素回歸分析表明,高血壓、高脂血癥及糖尿病和潰瘍型斑塊相關(guān);高脂血癥和光滑型斑塊、不規(guī)則型斑塊均相關(guān)。結(jié)論表面形態(tài)差異斑塊形成的危險因素是存在差別的,因此臨床治療上應(yīng)根據(jù)斑塊表面形態(tài),給予針對性的干預(yù),以提高臨床治療的有效性,頸部血管超聲檢查有一定臨床應(yīng)用價值。
[Abstract]:Objective to investigate the surface morphology of carotid atherosclerotic plaques in patients with ischemic cerebrovascular disease by ultrasonography. Methods 105 patients with ischemic cerebrovascular disease who were hospitalized in our hospital from 2014-01-2015-02 were studied by color Doppler ultrasonography in order to understand the surface morphology of carotid atherosclerotic plaques and to understand the relationship between different morphological risk factors and ultrasound images. Results there were 46 cases of irregular type, 37 cases of smooth type and 22 cases of ulcer type. The risk factor regression analysis showed that hypertension, hyperlipidemia and diabetes mellitus were associated with ulcer plaque, hyperlipidemia and smooth plaque, Irregular plaques were all correlated. Conclusion there are differences in the risk factors of plaque formation in different surface morphology. Therefore, according to the surface morphology of plaque, we should give targeted intervention in order to improve the effectiveness of clinical treatment. Ultrasound examination of cervical blood vessel has certain clinical application value.
【作者單位】: 鄭州大學(xué)第二附屬醫(yī)院超聲科;
【分類號】:R743.33
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