联合颈部血管彩超和dsa评估动脉粥样斑块和脑梗死关联性意义

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1、联合颈部血管彩超和DSA评估动脉粥样斑块和脑梗死关联性意义【摘要】目的探讨颈部血管彩超及DSA在动脉粥样硬化性脑梗死中的临床应用价值。方法以120例动脉粥样硬化性脑梗死患者为患者组，75例未发生脑梗死患者为对照组，经颈部血管彩超及DSA检查。结果二者颈动脉粥样斑块发生率差异有统计学意义，120例脑梗死患者中，颈动脉及椎动脉粥样斑块发生率为81%,对照组仅有13%。颈动脉斑块最常见颈总动脉分叉处，其次为颈动脉颅内段，椎动脉以起始段多见，其次为基底动脉分布，多以病灶同侧多见，易形成血管狭窄及血流动力学改变。结论颈动脉粥样硬化与脑梗死的发病存在关联性：联合颈部血管彩超与DSA能早期准确发现颈动脉

2、粥样硬化斑块及了解斑块的狭窄率，对预防或治疗脑梗死的发生有重要意义。【关键词】颈部血管彩超；DSA；动脉粥样硬化性脑梗死；颈动脉狭窄Remarkoncorrelationofatherosclerosisandcerebralinfarctionbycombiningdoublecarotidchromaticultrasonic(DCCU)withDSAFANGBo.DepartmentofNeurology,People’sHospitalofLu’an,Lu'an237005，China联合颈部血管彩超和DSA评估动脉粥样斑块和脑梗死关联性意义【摘要】目的探讨颈部血管彩超及DSA在动

3、脉粥样硬化性脑梗死中的临床应用价值。方法以120例动脉粥样硬化性脑梗死患者为患者组，75例未发生脑梗死患者为对照组，经颈部血管彩超及DSA检查。结果二者颈动脉粥样斑块发生率差异有统计学意义，120例脑梗死患者中，颈动脉及椎动脉粥样斑块发生率为81%,对照组仅有13%。颈动脉斑块最常见颈总动脉分叉处，其次为颈动脉颅内段，椎动脉以起始段多见，其次为基底动脉分布，多以病灶同侧多见，易形成血管狭窄及血流动力学改变。结论颈动脉粥样硬化与脑梗死的发病存在关联性：联合颈部血管彩超与DSA能早期准确发现颈动脉粥样硬化斑块及了解斑块的狭窄率，对预防或治疗脑梗死的发生有重要意义。【关键词】颈部血管彩超；DSA

4、；动脉粥样硬化性脑梗死；颈动脉狭窄Remarkoncorrelationofatherosclerosisandcerebralinfarctionbycombiningdoublecarotidchromaticultrasonic(DCCU)withDSAFANGBo.DepartmentofNeurology,People’sHospitalofLu’an,Lu'an237005，China[Abstract]ObjectiveToassesstheclinicalvalueofDCCUandDSAinatheroscleroticcerebralinfarction.Methods

5、Astudywasconductedinvolving120patientswithatheroscleroticcerebralinfarctionaspatientgroupsand75patientswithoutcerebralinfarctionascontrolgroupsundergoingDCCUandDSA.ResultsTherearedistinctdifferencesinratesofcarotidatherosclerosisplaque.Theoccurrenceratesofcarotidandvertebralarteryatheroscleroticpl

6、aquesinpatientgroupsandcontrolgroupwererespectively81%and13%.Carotidatheroscleroticplaquesweremostlylocatedatthebifurcationofthecarotidartery,andoccurredatthesamesideofstrokefocus,whichoftenledtovascularstenosisandhemodynamicchange.ConclusionThereexiststhecorrelationbetweencarotidatherosclerosisan

7、dcerebralinfarction：itisofvitalimportancetocombineDCCUwithDSAtofindcarotidatherosclerosisatanearlystageandunderstandvascularstenosisratetopreventortreattheoccurrenceofcerebralinfarction.[Keywords]Doublecarotidchr