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颈动脉粥样硬化与缺血性脑血管病的临床研究
引用本文:梁萍,胡长林,冉海涛,张茂惠. 颈动脉粥样硬化与缺血性脑血管病的临床研究[J]. 重庆医学, 2009, 38(16)
作者姓名:梁萍  胡长林  冉海涛  张茂惠
作者单位:重庆市第八人民医院神经内科,400015;重庆医科大学附属第二医院神经内科,400010
摘    要:目的 探讨颈动脉粥样硬化与缺血性脑血管病的关系.方法 对212例患者(包括脑梗死患者和缺血性脑血管病高危人群)及60例健康对照组进行双侧颈动脉超声探查,测量颈总动脉后壁的内膜中层厚度(IMT),了解有无斑块形成,进行斑块质地判断.结果病变组IMT与对照组相比差异有统计学意义(P<0.01),病变组以软斑及溃疡斑为主,对照组以扁平斑、硬斑为主,高于对照组(P<0.05).斑块的好发部位以颈动脉窦部(BIF)处最为常见.结论 缺血性脑血管病患者颈动脉粥样硬化斑块以不稳定的软斑及溃疡斑为主,颈动脉粥样硬化斑块类型与缺血性脑血管病的关系密切.

关 键 词:颈动脉粥样硬化  缺血性脑血管病  超声检查

Clinical research of carotid artery atherosclerosis and ischemic cerebrovascular disease
LIANG Ping,HU Chang-lin,RAN Hai-tao,et al.. Clinical research of carotid artery atherosclerosis and ischemic cerebrovascular disease[J]. Chongqing Medical Journal, 2009, 38(16)
Authors:LIANG Ping  HU Chang-lin  RAN Hai-tao  et al.
Affiliation:LIANG Ping1,HU Chang-lin2,RAN Hai-tao2,et al.(1.Department of Neurology,No.8 People's Hospital of Chongqing,Chongqing 400015,China,2.Department of Neurology,Second Aff iliated Hospital,Chongqing University of Medical Sciences,Chongqing 400010,China)
Abstract:Objective To discuss the relationship between the carotid artery atherosclerosis and ischemic cerebrovascular disease.Methods To compare 212 patients(including cerebral infarction patients and high risk group of ischemic cerebrovascular disease) and 60 healthy people with the method of both arteries ultrasonography,measure the back arteriae carotis communis IMT,search the formation of the plaque,and estimate the quality of the plaque.Results Pathological group's IMT had obvious difference with the control g...
Keywords:carotid artery atherosclerosis  ischemic cerebrovascular disease  ultrasonography  
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