彩超下颈动脉粥样硬化斑块分型与脑缺血性卒中关系的临床研究

目的 探讨颈动脉粥样硬化斑块不稳定性与缺血性脑血管病之问的关系。方法 将112例缺血性脑血管病患者按颈动脉超声表现分为六型，比较六型患者颅脑CT平扫梗死灶的数量的差异，统计学处理采用单因素方差分析。结果 其中Ⅳ～Ⅴ型、Ⅵ型与其他四型患者缺血性病灶数量的差异均有显著意义，Ⅳ～Ⅴ型，与Ⅵ型相比及其他四型两两相比差异无统计学意义。结论 彩超下确定的斑块不稳定性与临床发现有着一致性，可以作为确定斑块不稳定性的临床方法，简便有效。

A clinical study on the correlation between the unstability of carotid plaques by ultrasonic examination and ischemic cerebrovascular diseases

Objective To explore the correlation between the unstability of carotid plaques and ischemic cerebrovascular diseases, Methods 112 cases were divided into 6 types according to their carotid ultrasonic examination,counted the focus of ischemic stroke by CT of each patient, then compared the difference of the quantities among the 6 types, Results . There were significant differences between the stable and unstable types in the quantities of focus. Conclusion There is a closed relationship between the unstahility of carotid plaques by ultrasonic and ischemic cerebrovascular diseases.