标题：70例进展性脑梗死患者颈动脉斑块的超声分析

      作者：张 颖
    （天津市滨海新区大港医院功能科，天津 300270）

      卷次： 2013年24卷6期

      【摘要】 目的 探讨进展性脑梗死患者颈动脉斑块的超声特征表现。方法 应用彩超观察70例进展性脑
梗死患者颈总动脉和颈内动脉斑块形成情况以及斑块的部位、大小、形态、管腔狭窄率。结果 70例患者中59
例患者肢体障碍对侧颈总动脉及颈内动脉有斑块形成。其中颈总动脉21例，颈内动脉11例，两者均有斑块者27
例。斑块可分为规则型、不规则型和溃疡型。伴有50%以上狭窄者45例。结论 彩超能够清晰显示进展性脑梗
死患者颈动脉斑块形成情况，为其病因诊断提供了可靠的影像学资料。

      【关键词】 脑梗死；颈动脉；斑块；超声

      【中图分类号】 R743.33 【文献标识码】 A 【文章编号】 1003—6350(2013)06—0847—02


Ultrasonic analysis of carotid plaques in 70 patients with progressive cerebral infarction.
ZHANG Ying. Function
Examination Department, Tianjin Binhai New District Dagang Hospital, Tianjin 300270, CHINA

【Abstract】 Objective To investigate the ultrasonic characteristics of carotid plaques in patients with pro-
gressive cerebral infarction. Methods The site, size, shape, stenosis rate of plaques in common carotid artery and
internal carotid artery were observed in 70 patients with progressive cerebral infarction by color Doppler ultrasound.
Results Among the 70 patients, 59 showed plaques in the common carotid artery and internal carotid artery opposite
to the side of physical disability, of which 21 were in common carotid artery, 11 were in internal carotid artery, and 27
were in both common carotid artery and internal carotid artery. The plaques can be divided into regular type, irregular
type and ulcer type. Forty-five patients had 50% stenosis or more. Conclusion Color Doppler ultrasound can clearly
display the condition of carotid artery plaque in patients with progressive cerebral infarction, which provides reliable
imaging data for etiological diagnosis.