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ID:33003918
大小:1.13 MB
页数:39页
时间:2019-02-18
《老年人颈动脉粥样硬化超声与造影的对比分析》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、重庆医科大学硕士研究生学位论文1t3例超声诊断出颈动脉IMT增厚,和/或斑块形成;冠脉造影正常的50例患者中有2l例颈动脉超声检查正常。(3)单支病变组以IMT增厚和斑块为主,双支和多支病变组以斑块形成和颈动脉狭窄为主。在颈动脉狭窄兰70%的患者,冠脉狭窄发生率为90.91%(30/32),冠脉造影正常者,颈动脉狭窄芝70%发生率仅为4%(2/50)。(4)冠脉造影正常组与冠脉造影各病交组的IMT、颈动脉斑块面积、斑块积分和斑块数目有显著差异(P2、形回归分析:IMT与年龄、收缩压、纤维蛋白原相关;斑块面积与甘油三酯、餐后血糖、收缩压相关;斑块积分与年龄相关;冠状动脉积分为因变量,颈动脉超声检测结果及其他危险因素作为自变量,冠状动脉病变与颈动脉IMT、纤维蛋白原、斑块面积呈明显相关(r值分别为O.164,0.192,0.197P3、.34%;患者行多部位血管造影的时间、造影剂用量、x线曝光时间虽多于单部位造影的患者,但术中、术后并发症并未明显增多;患者术前、术后一天、术后七天血肌酐无明显变化(P>o.05)。(7)多部位血管病变组的年龄、糖尿病和IMT较正常组及单部位病变组明显增加(P<0.05)。结论(1)老年CHD组颈动脉IMT、斑块指数、斑块面积、斑块积分均明显高于造影正常者。(2)老年CHD患者中双支、多支病变组斑块面积,颈动脉斑块积分明显高于单支病变组,随着颈动脉粥样硬化程度的加重,冠状动脉病变支数也增加。(3)老年患者一次性完成冠脉及周围血管的多血管造影安全4、可行,可明显提高多动脉血管病变4重庆医科大学硕士研究生学位论文韵诊断率,益于优先处理最可能引起临床事件的受累血管。关键词:老年人,冠心病,外周动脉疾病5重庆医科大学硕士研究生学位论文’rHECoM量.ARATIVESTUDYoFCARoTIDARTERYU1月RASOUNDWITHANGIOGRAPHYINPA口IENTSWIT珏CARoTIDATHERoSCLEROSISABSTRACTB娜ITHECoM重.ARATIVESTUDYOFCARoTIDARTERYULTRASoUNDWITHANGIOGRAPHYINPATIENTSWITHC5、AROTIDATHERoSCLEROSISobjective:Tocomparetheadvantagesandshortcomingofcarotidarteryultrasoundwithdi罾talsubtractionangiography(DSA)ofcarotidindiagnosisofcarotidatherosclerosis.Toinvestigatetheclinicalvalueofultrasoundindiognosisofcarotidatherosclerosisandthebestadaptation.Met6、hods:126caseswithmorethantwodangerousfactorsofcarotidatherosclerosiswereexamedwithcarotidarteryultrasoundandcarotidDSA.Weobservedinsidediameter,intima-mediathicknessofcarotidartery,characterandpositonofplaque,stenosisandcalculatetheratioofstenosis.Results:Theincidenceofthel7、eftcarotidplaquewashigherthanthatoftheright.Themostplaquesofthebifurcationofcarotidarterywerefoundthantheothers.Theplaquesofmaincarotidandinteriorcarotidarteryweresecondary.Theincidenceofplaqueand(oDstenosisofcarotidinagedpatientswerediagnosedbyultrasoundandDSAwere60.32%,538、.97%respectively.TherateofstenosiswithcarotidarteryultrasoundandcarotidDSAwere43.5
2、形回归分析:IMT与年龄、收缩压、纤维蛋白原相关;斑块面积与甘油三酯、餐后血糖、收缩压相关;斑块积分与年龄相关;冠状动脉积分为因变量,颈动脉超声检测结果及其他危险因素作为自变量,冠状动脉病变与颈动脉IMT、纤维蛋白原、斑块面积呈明显相关(r值分别为O.164,0.192,0.197P3、.34%;患者行多部位血管造影的时间、造影剂用量、x线曝光时间虽多于单部位造影的患者,但术中、术后并发症并未明显增多;患者术前、术后一天、术后七天血肌酐无明显变化(P>o.05)。(7)多部位血管病变组的年龄、糖尿病和IMT较正常组及单部位病变组明显增加(P<0.05)。结论(1)老年CHD组颈动脉IMT、斑块指数、斑块面积、斑块积分均明显高于造影正常者。(2)老年CHD患者中双支、多支病变组斑块面积,颈动脉斑块积分明显高于单支病变组,随着颈动脉粥样硬化程度的加重,冠状动脉病变支数也增加。(3)老年患者一次性完成冠脉及周围血管的多血管造影安全4、可行,可明显提高多动脉血管病变4重庆医科大学硕士研究生学位论文韵诊断率,益于优先处理最可能引起临床事件的受累血管。关键词:老年人,冠心病,外周动脉疾病5重庆医科大学硕士研究生学位论文’rHECoM量.ARATIVESTUDYoFCARoTIDARTERYU1月RASOUNDWITHANGIOGRAPHYINPA口IENTSWIT珏CARoTIDATHERoSCLEROSISABSTRACTB娜ITHECoM重.ARATIVESTUDYOFCARoTIDARTERYULTRASoUNDWITHANGIOGRAPHYINPATIENTSWITHC5、AROTIDATHERoSCLEROSISobjective:Tocomparetheadvantagesandshortcomingofcarotidarteryultrasoundwithdi罾talsubtractionangiography(DSA)ofcarotidindiagnosisofcarotidatherosclerosis.Toinvestigatetheclinicalvalueofultrasoundindiognosisofcarotidatherosclerosisandthebestadaptation.Met6、hods:126caseswithmorethantwodangerousfactorsofcarotidatherosclerosiswereexamedwithcarotidarteryultrasoundandcarotidDSA.Weobservedinsidediameter,intima-mediathicknessofcarotidartery,characterandpositonofplaque,stenosisandcalculatetheratioofstenosis.Results:Theincidenceofthel7、eftcarotidplaquewashigherthanthatoftheright.Themostplaquesofthebifurcationofcarotidarterywerefoundthantheothers.Theplaquesofmaincarotidandinteriorcarotidarteryweresecondary.Theincidenceofplaqueand(oDstenosisofcarotidinagedpatientswerediagnosedbyultrasoundandDSAwere60.32%,538、.97%respectively.TherateofstenosiswithcarotidarteryultrasoundandcarotidDSAwere43.5
3、.34%;患者行多部位血管造影的时间、造影剂用量、x线曝光时间虽多于单部位造影的患者,但术中、术后并发症并未明显增多;患者术前、术后一天、术后七天血肌酐无明显变化(P>o.05)。(7)多部位血管病变组的年龄、糖尿病和IMT较正常组及单部位病变组明显增加(P<0.05)。结论(1)老年CHD组颈动脉IMT、斑块指数、斑块面积、斑块积分均明显高于造影正常者。(2)老年CHD患者中双支、多支病变组斑块面积,颈动脉斑块积分明显高于单支病变组,随着颈动脉粥样硬化程度的加重,冠状动脉病变支数也增加。(3)老年患者一次性完成冠脉及周围血管的多血管造影安全
4、可行,可明显提高多动脉血管病变4重庆医科大学硕士研究生学位论文韵诊断率,益于优先处理最可能引起临床事件的受累血管。关键词:老年人,冠心病,外周动脉疾病5重庆医科大学硕士研究生学位论文’rHECoM量.ARATIVESTUDYoFCARoTIDARTERYU1月RASOUNDWITHANGIOGRAPHYINPA口IENTSWIT珏CARoTIDATHERoSCLEROSISABSTRACTB娜ITHECoM重.ARATIVESTUDYOFCARoTIDARTERYULTRASoUNDWITHANGIOGRAPHYINPATIENTSWITHC
5、AROTIDATHERoSCLEROSISobjective:Tocomparetheadvantagesandshortcomingofcarotidarteryultrasoundwithdi罾talsubtractionangiography(DSA)ofcarotidindiagnosisofcarotidatherosclerosis.Toinvestigatetheclinicalvalueofultrasoundindiognosisofcarotidatherosclerosisandthebestadaptation.Met
6、hods:126caseswithmorethantwodangerousfactorsofcarotidatherosclerosiswereexamedwithcarotidarteryultrasoundandcarotidDSA.Weobservedinsidediameter,intima-mediathicknessofcarotidartery,characterandpositonofplaque,stenosisandcalculatetheratioofstenosis.Results:Theincidenceofthel
7、eftcarotidplaquewashigherthanthatoftheright.Themostplaquesofthebifurcationofcarotidarterywerefoundthantheothers.Theplaquesofmaincarotidandinteriorcarotidarteryweresecondary.Theincidenceofplaqueand(oDstenosisofcarotidinagedpatientswerediagnosedbyultrasoundandDSAwere60.32%,53
8、.97%respectively.TherateofstenosiswithcarotidarteryultrasoundandcarotidDSAwere43.5
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