| 颈动脉斑块特征与缺血性脑卒中相关性的MDCTA研究 |
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| 引用本文： | 于淑靖,李忠信,张军.颈动脉斑块特征与缺血性脑卒中相关性的MDCTA研究[J].中国医药导刊,2008,10(3):334-335. |
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| 作者姓名： | 于淑靖 李忠信 张军 |
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| 作者单位： | 1. 沧州市中心医院CT室,沧州,061001
2. 沧州市中心医院,心内科,沧州,0610012 |
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| 摘 要： | 目的：应用MDCTA（多排螺旋CT血管成像）评价颈动脉斑块的特征以及不同性质斑块与缺血性脑卒中之间的关系。方法：回顾性分析3682例忠者的头颈部CTA结果和临床资料。以斑块的密度、形态以及纤维帽的完整性，作为斑块风险性的评价指标。比较不旧性质斑块之间临床症状的舁同。结果：3682例接受头颈部CTA检查的患者中，有1984例榆出动脉硬化斑块，其中1728例为双侧颈动脉发病。在1170例检出高风险斑块患者巾，临床有反复TIA发作或脑梗死者728例；仅发现稳定斑块（不含高风险斑块）的814例中，临床有反复TIA发作或脑梗死者146例。经卡方检验，高风险斑块和稳定班块之间临床表现有显著差异。结论：颈动脉粥样硬化斑块多为双侧发病。不稳定斑块是造成TIA发作或脑梗死的重要因素，应积极干预。
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| 关 键 词： | 颈动脉 粥样硬化 斑块 脑卒中 CT血管成像 颈动脉粥样硬化斑块 块特征 缺血性脑卒 相关性 研究 Ischemic Stroke Plaque Carotid Artery Characteristics 积极干预 因素 不稳定斑块 差异 临床表现 卡方检验 发现 脑梗死 高风险 发病 双侧 |
The Relationship between the Characteristics of Carotid Artery Plaque and Ischemic Stroke by MDCTA |
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| Yu Shu-jing,Li Zhong-xin,Zhang Jun.The Relationship between the Characteristics of Carotid Artery Plaque and Ischemic Stroke by MDCTA[J].Chinese Journal of Medicinal Guide,2008,10(3):334-335. |
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| Authors: | Yu Shu-jing Li Zhong-xin Zhang Jun |
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| Institution: | Yu Shu-jing Li Zhong-xin Zhang Jun (Department of CT room,Cangzhou Central Hospital,The Affiliated Hospital of Hebei Medical University,Cangzhou 061001,China) |
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| Abstract: | Objective:To explore the The relationship between the characteristics of carotid artery plaque and ischemic stroke in pa- tients who had been performed MDCTA.Methods:3 682 cases with head and neck CTA results and clinical data were analyzed retrospective- ly.The density,shape and fiber apparatus integrity of the plaque were cosidered as the risk evaluation index of the plaque.To compare the differents of the clinical symptoms between patients with various plaques.Results:Atherosclerotie plaque were detected... |
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| Keywords: | Carotid arteries Atherosclerosis Plaque Stroke CT angiography |
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