超声测量外周大动脉粥样硬化预测冠心病的价值

目的：通过对外周大动脉损伤的超声测量来观察与冠状动脉损伤之间的关系.为进一步应用无创伤诊断冠状动脉损伤提供可靠的依据.方法：将75例患者按冠状动脉造影的结果分为两组,即冠状动脉损伤组和冠状动脉无损伤组.再将临床特点、实验室和超声检查结果进行综合分析,找出这些因素与冠状动脉损伤之间的联系.结果：颈总动脉和股动脉内中膜厚度（IMT）、颈动脉斑块发生率、股动脉反相峰峰值和持续时间等超声检查参数两组之间有显著差异（P＜0.05）.结论：用超声检查外周大动脉粥样硬化损害可以预测和在一定程度上反映冠状动脉粥样硬化损害的存在,具有重要的临床意义.

Large arteries atherosclerosis in ultrasonic test as a predictive value for coronary atherosclerosis

Objective:The aim of the present study was to determine the relation between coronary atherosclerosis and periarteries atherosclerosis by ultrasound measured as carotid and femoral artery structure and function and coronary angiograpgy. Methods: Subjects(75 cases) were divided into two groups according to coronary lesion and non-coronary lesion.Relation between coronary atherosclerosis lesion and multiple factors was found by analysis of clinical statues,laboratory test and sonograhpy. Results: Intima-media thickness in common carotid and femoral arteries,carotid plaques and invert peak and whole time on invert peak in femoral arteries were significantly higher in coronary lesion group than those in non-coronary lesion group(P<0.05). Conclusion:Our finding suggests a definite association between different arteries at different sites in body with atherosclerosis.Thus large arteries atherosclerosis affirmed by ultrasound examination can be used as predictive value for coronary atherosclerosis.