超声诊断颈动脉易损斑块的应用与影像学特征分析
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摘要
目的观察超声诊断颈动脉易损斑块的影像学特征,评估超声技术在本病症临床诊断中应用价值。方法方便选取2016年1月—2017年7月在该院确诊并接受治疗的40例脑梗死患者(观察组),选择同期在该院体检中心进行体检的50名(健康组),所有入组对象均接受对其进行颈动脉超声检查,对比检查结果,以探究斑块发生与脑梗死间的相关性,明确超声诊断价值。结果观察组患者颈动脉粥样硬化斑块发生率为72.5%,显著高于健康组12.0%,组间数据差异有统计学意义(χ~2=34.226,P<0.01)。斑块分型以易损斑块和稳定斑块为主。结论采用超声技术能够较为准确的检出易损斑块,且颈动脉易损斑块与脑卒中存在一定相关性。故此临床在对脑卒中疾病诊治过程中可将超声检出结果作为参照依据,以优化患者临床治疗与预后效果。
Objective To observe the imaging features of ultrasound-induced carotid vulnerable plaque and evaluate the value of ultrasound in the clinical diagnosis of this disease. Methods 40 patients with cerebral infarction(observation group)who were diagnosed and treated in the hospital from January 2016 to July 2017 were convenient selected. 50 case(health group) who were examined at the physical examination center of the hospital at the same time, all the subjects were enrolled. Carotid ultrasound examination was performed and the results were compared to explore the correlation between plaque occurrence and cerebral infarction, and the value of ultrasound diagnosis was clarified. Results The incidence of carotid atherosclerotic plaque in the observation group was 72.5%, which was significantly higher than that in the healthy group(12.0%). There was significant difference between the two groups(χ~2=34.226, P<0.01). Plaque classification was dominated by vulnerable plaques and stable plaques. Conclusion Ultrasound technique can detect vulnerable plaque more accurately, and there is a certain correlation between carotid vulnerable plaque and stroke. Therefore, in the diagnosis and treatment of stroke diseases, the results of ultrasound detection can be used as a reference basis to optimize the clinical treatment and prognosis of patients.
Objective To observe the imaging features of ultrasound-induced carotid vulnerable plaque and evaluate the value of ultrasound in the clinical diagnosis of this disease. Methods 40 patients with cerebral infarction(observation group)who were diagnosed and treated in the hospital from January 2016 to July 2017 were convenient selected. 50 case(health group) who were examined at the physical examination center of the hospital at the same time, all the subjects were enrolled. Carotid ultrasound examination was performed and the results were compared to explore the correlation between plaque occurrence and cerebral infarction, and the value of ultrasound diagnosis was clarified. Results The incidence of carotid atherosclerotic plaque in the observation group was 72.5%, which was significantly higher than that in the healthy group(12.0%). There was significant difference between the two groups(χ~2=34.226, P<0.01). Plaque classification was dominated by vulnerable plaques and stable plaques. Conclusion Ultrasound technique can detect vulnerable plaque more accurately, and there is a certain correlation between carotid vulnerable plaque and stroke. Therefore, in the diagnosis and treatment of stroke diseases, the results of ultrasound detection can be used as a reference basis to optimize the clinical treatment and prognosis of patients.
引文
[1]孙立涛,王珍珍,窦新颖,等.实时超声弹性成像技术评价兔颈动脉易损斑块的价值[J].中华超声影像学杂志,2016,25(2):123-124.
[2]李文兰,朱叶锋,冉海涛.超声诊断颈动脉易损斑块的研究进展[J].中国介入影像与治疗学, 2018, 15(1):55-58.
[3]杨丽艳,赵凤杰,郭鲁展,等.探讨超声实时组织弹性成像在颈动脉易损斑块诊断中的临床应用[J].世界最新医学信息文摘,2015,15(82):17-18.
[4]周东晓,黄丙仓. MRI在颈动脉易损斑块评估中应用进展[J].中国医学计算机成像杂志, 2016, 22(3):286-290.
[5]任国星,李连霞,王勇,等.彩色多普勒超声与磁共振成像用于颈动脉易损斑块的差异分析[J].药物与人, 2014,26(11):274-274.
[6]赵宁军,赵琪玉,卓晓英,等.评价颈动脉粥样斑块稳定性在急性脑梗死静脉溶栓治疗中的意义[J].中国急救复苏与灾害医学杂志,2017,12(4):305-308.
[7]李文兰,朱叶锋,冉海涛.超声诊断颈动脉易损斑块的研究进展[J].中国介入影像与治疗学,2018,15(1):55-58.
[8]徐珂,崔可飞,付超.超声诊断颈动脉易损斑块研究进展[J].中国医学影像技术,2014,30(7):1121-1124.
[9]祁杰,李秀红,钟妮儿,等.Lp-PLA2与颈动脉粥样硬化斑块超声表现对冠脉斑块稳定性的预测价值[J].临床医学研究与实践,2017,2(30):4-6.
[10]张东兵.分析超声实时组织弹性成像在颈动脉易损斑块诊断中的临床应用[J].大家健康旬刊, 2016, 10(8):56-57.
[2]李文兰,朱叶锋,冉海涛.超声诊断颈动脉易损斑块的研究进展[J].中国介入影像与治疗学, 2018, 15(1):55-58.
[3]杨丽艳,赵凤杰,郭鲁展,等.探讨超声实时组织弹性成像在颈动脉易损斑块诊断中的临床应用[J].世界最新医学信息文摘,2015,15(82):17-18.
[4]周东晓,黄丙仓. MRI在颈动脉易损斑块评估中应用进展[J].中国医学计算机成像杂志, 2016, 22(3):286-290.
[5]任国星,李连霞,王勇,等.彩色多普勒超声与磁共振成像用于颈动脉易损斑块的差异分析[J].药物与人, 2014,26(11):274-274.
[6]赵宁军,赵琪玉,卓晓英,等.评价颈动脉粥样斑块稳定性在急性脑梗死静脉溶栓治疗中的意义[J].中国急救复苏与灾害医学杂志,2017,12(4):305-308.
[7]李文兰,朱叶锋,冉海涛.超声诊断颈动脉易损斑块的研究进展[J].中国介入影像与治疗学,2018,15(1):55-58.
[8]徐珂,崔可飞,付超.超声诊断颈动脉易损斑块研究进展[J].中国医学影像技术,2014,30(7):1121-1124.
[9]祁杰,李秀红,钟妮儿,等.Lp-PLA2与颈动脉粥样硬化斑块超声表现对冠脉斑块稳定性的预测价值[J].临床医学研究与实践,2017,2(30):4-6.
[10]张东兵.分析超声实时组织弹性成像在颈动脉易损斑块诊断中的临床应用[J].大家健康旬刊, 2016, 10(8):56-57.